Reproductive Acupuncture Scholarship Application – Lotus Leaf Acupuncture & Wellness Center

Our focus for this fund is to center Black, Indigenous, Bodies of Culture (POC), LGBTQIA+, and people living with disabilities by reducing financial barriers in accessing reproductive healthcare in a consistent, viable, and sustainable way. If you would like to proceed, please acknowledge that you understand this criteria for application

I confirm

I understand this is a Reproductive Acupuncture Scholarship that is designated for treating my fertility concerns with Chinese medicine.

Full Name *

Pronoun *

Phone Number *

E-Mail *

How would you prefer we contact you *

Chinese medicine is slow and deep medicine that works with consistent care over several months to a year (or more) when nourishing and rebalancing reproductive health. This is our current fee schedule.

INITIAL VISIT: (1.5 Hours) $ 195.00

RETURN VISITS: (1 Hour) $ 110.00

We offer fully-supported (we’ve got you covered) and collaborative (we are in it with you) Reproductive Acupuncture treatments.

Please choose one option: *

We understand that there are many reasons why you are finding yourself here. Is there anything else you would like to let us know? *

Please allow 2 weeks for us to review your application. We may reach out to you with more follow up questions. Please note that scheduling treatments are contingent upon practitioner availability. Thank you!

3 + 1 = ?Please prove that you are human by solving the equation *

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