Skip to content
Washington Institute Of Natural Medicine
Facebook page opens in new window
Instagram page opens in new window
YouTube page opens in new window
Twitter page opens in new window
Blogger page opens in new window
Merline Sahsonya Melvin, L.Ac, Dipl. Ac Question
Schedule - Merline Sahsonya Melvin
QUESTIONS OR APPOINTMENT SCHEDULING
Merline Sahsonya Melvin, L.Ac, Dipl. Ac
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
Question
Therapy/ Service
*
--- Select One ---
Acupuncture
Laser Therapy
Nutritional Lab Testing
Chakra Balancing
Aromatherapy
Ear Candling
Herbology
N/A
Other
If others, please specify
Location
--- Select One ---
3701 Connecticut Ave., NW #1
N/A
Length of Service
--- Select One ---
60 Minutes
90 Minutes
N/A
Are you a new or repeat client?
*
--- Select One ---
New Client
Repeat Client
Requested dates and times (Please provide at least three dates and times)
Notes / Comments
Office Policies
We are not a spa, but rather we are an alternative medicine facility. Our goals are health and healing oriented. Due to this focus there may be unforeseen delays due to health problems we may need to handle. So please be patient at your time of visit.
If cancellation is necessary please notify our office as soon as possible. If you cancel the day before your visit after 8pm or the same day as your visit a cancellation fee of $30.00 to $50.00 may apply.
If you Purchased a Promotional Voucher Please Read
All Washington Institute Promotional Vouchers have expired several years ago. If you have contacted us because you have purchased a voucher recently please look at your voucher and contact the company that has advertised it. Thank you.
*
I have read and agree with the policies
If you have any problem with this form, please
contact us
.
If you are human, leave this field blank.
Submit
Go to Top