AOMA Alumni Referral Network
Thank you for joining the Alumni Referral Network! If you have other friends who are AOMA Alumni and not on Facebook, do not hesitate to share this link with them! This is a great opportunity for everyone to share opportunities with one another.
HOW IT WORKS
ACCESS
All information is stored in a spreadsheet on google drive accessed only by AOMA Career Services.
Unless otherwise expressed and permitted, this information will not be used for any other purpose.

REQUEST REFERRAL
When someone is looking for an acupuncturist in ___ city, simply tag Qi Bo in the Alumni Facebook Group on post OR email CareerServices@aoma.edu! We will get a response back within one business day with a list of all of the practitioners in that area, including name of the practice, practitioner, address, website, preferred email, and preferred phone number, as provided by the practitioner.

UPDATING INFORMATION
Things change, and you may find you wish to update your information. Select that this is an update, and fill out only the information you wish to change. We'll take care of the rest!

Let's get started!

Permissions
Please note that, as mentioned previously, information for the network is stored on Google Drive. If you do not permit storage of your information, this may affect visibility in searches for referral.
Permissions
Yes
No
Do you give permission for us to store this directory information on our Google Drive?
Do you give permission for AOMA to utilize this information to update their records?
Would you like to receive the digital AOMA Alumni Newsletter, which includes Continuing Education Opportunities and other campus events?
If you would like to receive the newsletter, what email would prefer is used for you?
Your answer
New or Updated Information?
Is this a new entry or an update to an existing network member?
PRACTICE INFORMATION
The following information will be provided to anyone seeking a referral in your area. Questions are mostly optional, so only share information you wish to have shared for your practice.
Location
State (scroll for Commonwealth/ Territory)
City
Your answer
Contact Information
Name of Alumni Practitioner
Your answer
Name of Practice
Your answer
Practice Website
Your answer
Preferred Email
Your answer
Preferred Phone
Your answer
Practice Address
Your answer
Type of Practice
The following information will allow for more successful referrals for patients with special needs and requirements.
What type of practice is this? (Select all that apply)
Additional Practice Information
Yes
No
Do you have a hypoallergenic, fragrance free clinic?
Do you offer a gender neutral environment?
Do you take insurance?
Do you offer sliding scale payment?
Training and Practice Style
Do you hold any other licenses or certifications?
Do you hold advanced training/ clinical expertise in Chinese medical treatment of any of the following areas?
yes
some
no
Cardiology
Dermatology
Endocrinology
Fertility
Gastroenterology
Hepatology
Immunology
Mental Health
Neurology
Nutrition
Oncology
Opthamology
Orthopedics
Pediatrics
Pulmonology
Urology
Men's Health
Women's Health
Transgender Health
Which of the following applies to your style of practice for ACUPUNCTURE? (check all that apply)
Which of the following applies to your style of practice for HERBAL MEDICINE? (check all that apply)
Is there anything else you would like us to know about your practice?
Your answer
Thank you!
We're so happy to have you be part of the network and we look forward to sending referrals your direction! For any questions, please email CareerServices@aoma.edu
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