New Patient Form - Short
for Wellness Day / The Sanctuary
& Candlelit Acupuncture Sessions
Thank you for booking your treatment session. We are offering these special sessions to help you relax, restore a sense of well-being as well as address your specific health issues. Please note that a strict no talking policy applies during these sessions as we want to create a tranquil environment with gentle meditation music and candle light. Payment can only be made by cash, as there is no reception in operation on the day. If your health condition is complex than a full initial consultation is recommended (click here to request full consultation).
Please fill in this form in full, to assist your practitioner in providing the best possible treatment for you: