New Patient Scheduling Request

Please note that the information you enter in this form will be forwarded directly to me – Jessica Timins, L.Ac. and will never be shared or sold. Also note that email is not a completely secure system. Please call or text me instead at (206)618-5902 if this is a concern or if you do not receive a reply within 1-2 days.

    Your Full Name (required)

    Your Email (required)

    Your Phone Number (required)

    Preferred Appointment Times / Availability

    How do you prefer to be contacted?

    emailphonetext message

    Brief summary of health interests or concerns

    How did you hear about me?

    Please enter the text below to prove you're not a spambot.