Schedule with Lindsey Perkins

Complete the form below to request an appointment. We will notify you once your selected date and time is confirmed. If your requested date/time is not available, we will contact you to reschedule.

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Appointment Request with Lindsey Perkins, L.Ac.

Desired appointment date (Tuesday - Friday only):

Desired appointment time(s):

8:00am

8:30am

9:00am

9:30am

10:00am

10:30am

11:00am

11:30am

12:00pm

12:30pm

1:00pm

1:30pm

2:00pm

2:30pm

3:00pm

3:30pm

4:00pm

4:30pm

5:00pm

Referred by:

If Healthcare Provider or Other, please specify:

New Patient:

Yes

First & Last Name:

Date of Birth:

Phone:

Email:

Reason for appointment:

Do you currently have any of the following symptoms: Fever/Cough/Chills/Sore Throat/Unexplainable aches or pain/Loss of taste or smell

Yes

Your appointment request with Lindsey Perkins, L.Ac. has been submitted.

We will notify you once your appointment is confirmed. If your requested date/time is not available, we will contact you to reschedule.

Oops, there was an error submitting your request. Please make sure all fields are complete and try again, or you can contact us directly to schedule.

2025 Elements Acupuncture & Chinese Medicine, LLC.

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