Contact Us Schedule an Acupuncture Appointment With Us ACUPUNCTURE APPOINTMENT REQUEST Email [email protected] Phone Phone: (401) 946-7734Fax: (401) 919-5872 Business Address Knightsville Medical Center 1681 Cranston Street, Suite HCranston, Rhode Island 02920 Name*Date of Birth* Date Format: MM slash DD slash YYYY Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* For what are you seeking acupuncture?* Pain Management Immune Support Cardiovascular Support Digestion Stress/Depression Side Effects of Cancer Treatment Addiction Musculoskeletal Issues Neurological Issues Post-Surgical Support PMS Fertility Other How soon would you like to come in for an appointment? As soon as possible 1 week from now 2 weeks from now Not sure How did you hear about us?* Google/Internet Search Social Media Friend Insurance Provider Search Other What insurance do you have?* Blue Cross Blue Shield BlueCHiP Cigna Neighborhood Health Plan Tuft's Other None Please call the number on the back of your insurance card to confirm benefits before your initial appointment. Δ Email [email protected] Phone Phone: (401) 946-7734Fax: (401) 919-5872 Business Address Knightsville Medical Center 1681 Cranston Street, Suite HCranston, Rhode Island 02920
