Request an Appointment

Request an acupuncture, pain management or quality of life consult for your pet.

I will respond to you promptly with my availability, usually within 1-2 business days. Please email me directly or call if you do not receive a response to your request! For the winter 2017 I am in : Massachusetts!

* Indicates required field

Your Name *

First

Last

Your Email *

Prefered Phone Number *

This number is a: *

Cell/Mobile Home/Landline

Your Address (City please! ) *

Line 1

Line 2

City

State

Zip Code

Country

Your Pet's Veterinary Clinic/Referring Vet *

Pet's Name & Breed (or Species) *

Please explain your pet's needs *

I am available on weekdays. What are your weekday availabilities? (select all that apply) *

Mornings Afternoons Evenings

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