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Request an Appointment: 

To book an appointment with one of our holistic physicians,

 fill out the form below or call us at  (253) 848-1055, 

To request an

 appointment please fill out the form. 

Preferred day of the week
Preferred Time of day
Chose all that apply:

Please be advised that this form is non-HIPPA compliant. We urge you to refrain from submitting any confidential information through this form and utilize our secure patient portal instead. By submitting this form, you acknowledge and accept that any information sent through this form is not guaranteed to be secure or private.

Appointment Request  Form

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