New Patient Consultation Form

If you're interested in becoming a patient, please complete the following form, and we will reach out with next steps as soon as we are able. NOTE: Hayley Gardner, MSOM DCCM LAc, founder and primary practitioner of Estuary Herbs, will be taking a leave of absence from March 1 through June 1, 2026. During this time, Estuary Herbs' patients will be under the care of practitioner, Lan Nguyen, LAc. Thank you! 

*We recommend using a laptop or desktop computer to complete forms. If you have any technical trouble, email help@estuaryherbs.com and we'll be happy to assist!*