Free Treatment

Come for a Free Treatment

 

We are teaching a 2-days seminar on Zhu’s Scalp Acupuncture to licensed acupuncturists on Aug 29- Aug 30, 2015. We are recruiting patients for live demonstrations. We welcome anyone, preferably who has not been treated before, with an acute condition and visible symptoms to apply for a free treatment session.

 

Date & Time: Saturday Aug 29th 2 p.m. or Sunday Aug 30th 2 p.m.

Location: Beverly Heritage Hotel (Meeting Room)

            1820 Barber Lane, Milpitas, CA 95035

 

If you are interested to participate as a demo patient, please fill in the form below and email to us at reception@scalpacupuncture.org or mail/fax to (408) 885-0488  as soon as possible. Space is limited.

 

Name: (Last) _________________ (First) ___________________

Cell Phone: _____________  Home Phone: ___________________

Work Phone: ____________  Email: ________________________

Date of birth: ____________

Health Condition to be treated:

______________________________________________________

______________________________________________________

When did the condition first happen:

______________________________________________________

 

Attending session:   __  Sat, Aug 29th  2 p.m. or

(Choose one only)    __  Sun, Aug 30th 2 p.m.

Candidates will be screened and selected by our doctors by Aug 21. Participants must give consent to videotaping for purposes of documentation, research, education and promotion of our therapy.