PATIENT INFORMATION

CLICK BELOW TO DOWN LOAD NEW PATIENT FORMS:

 

PATIENT INTAKE FORM/ CANCELLATION POLICY

HEALTH HISTORY FORM

        PATIENT CONSENT FORM

 

*KUNG ACUPUNCTURE respects the discretion of the patient-practitioner relationship. 

WHAT TO EXPECT ON YOUR FIRST VISIT

Kung Acupuncture believes in a strong patient- practitioner relationship. We will be reviewing your medical history as well as any health concerns associated with it. Please come ready to discuss your medical history as well as bring any medications you are currently taking.

Here are some tips to prepare before your first visit:

  • The treatment will involve a tongue and pulse diagnosis, therefore, we encourage you NOT to brush your tongue before your visit. (The tongue coating allows us to see a more accurate picture of your digestive system and total health).

  • You may come dressed in comfortable, loose clothing or have the option of draping.

  • Do eat something small if you haven't eaten all day. Acupuncture tends to lower blood pressure, so please eat to prevent fainting.

  • Avoid strenuous exercise, drinking alcohol, and eating anything heavy an hour before and after treatment.

  • Please bring paperwork for any referrals from Doctors & Specialists.

  • For your Facial Rejuvenation visit, you have the option of arriving with your face pre-washed or having it washed at the appointment.

For further questions, please don't hesitate to contact Debbie at  kung.acu@gmail.com.

 

CANCELLATION POLICY

Kung Acupuncture values the patient's and the practitioner's time.  We understand that life happens and sometimes appointments can't be made. That's why we now have a strict 24 hour policy now in place.

Kung Acupuncture is growing rapidly so we are trying to accomodate our patients' needs. Any cancellations and appointment time changes made after a 24 hour notice of the scheduled appointment will be charged 50% of appointment fee. 

Our goal is to give you the best caring, nurturing, efficient and effective acupuncture treatments. By implementing this new cancellation policy, this will support our schedule to free up space for those can come in. 
We look forward to helping you feel better :-)