BUILD BLOOD Manhattan Appointment Request Form

Thank you for your interest in booking an acupuncture session at my Manhattan location!

Please fill out this request form and I will get back to you shortly:)

100 Lafayette St # 304
New York, NY 10013
(Inside Little Fox Wellness)

Cost:
$140 - New Patient
$120 - Returning Patient

Sessions are 1 hour long and may include, depending on your needs, modalities such as cupping, gua sha, and TCM lifestyle/herbal recommendations.

Your requested slot is tentatively reserved until a $40 deposit is received, which will be applied to your session total.

*Please note: 24-hour cancellation policy. Deposits are non-refundable for cancellations within 24 hours.

Email Buildbloodnyc@gmail.com with any questions

First Name*

Last Name*

Email Address*

Phone Number *

New Patient - $140Returning Patient - $120

TuesdayThursdayFridaySunday

Preferred Date*

Date

Reason for visit / anything to note before your appointment

I understand that a $40 deposit is required to confirm my appointment and will be applied toward my session total. Deposit details will be sent after your requested time is approved.