Acupuncturist Help Request

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Acupuncturist Help Request Form

I receive many great questions and requests for help from acupuncturists and students all across the country and beyond. It is my goal to provide you with sound resources to help you with your acupuncture education and practice. I take your questions seriously and answer each one individually. In order to assist me, please fill out your contact information in the Acupuncturist Help Request Form below. This not only helps me determine which time zone you are in, but assures me that you are serious about requesting help. As always, read my Disclaimer and consult with professionals before making any final decisions.

Please indicate your preferred method of contact (e.g. Phone or Email). My intention is to reply as soon as possible.

Request For Help

Please note that all fields followed by an asterisk must be filled in.

I am requesting help with my:

	Website
	Business Plan
	Business Structure / Model
	Other

Briefly Explain What You Need Help With:

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

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Lisa Hanfileti, LAc, MAcOM
18810 NE 18th Street
Vancouver, WA (USA)
(360) 449-4500 PST