Interested in working together?
Please fill out this form to let me know a little more about you and your interest in working together so that I can better understand how I might be of service.

About me: I am a white-bodied, cisgender female using she/her pronouns. My practice focus is on providing trauma-sensitive acupuncture and somatic work (NeuroAffective Touch and Somatic Regulation & Resilience).

To learn more about office policies, including billing rates and time-of-service fees, please read this document. If you are hoping to use health insurance benefits for acupuncture, please note that there is an add-on fee for IFS, somatic, and manual therapies that are not covered by insurance. 
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tracy Andrews Acupuncture. Report Abuse