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In addition to the 77 ailments for which acupuncture has been shown to be an effective treatment by the World Health Organization, the doctors at Acupuncture & Chinese Medical Center have successfully expanded the scope of the effectiveness of acupuncture since 1968.

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“I WILL DEVOTE MY ENERGY TO A LIFETIME OF HEALING THROUGH ACUPUNCTURE”
Dr. Shan Kong




“THERE WERE FOUR THINGS WHICH THE MASTER TAUGHT—LETTERS, ETHICS, DEVOTION OF SOUL, AND TRUTHFULNESS"
Confucius
(552 B.C.—479 B.C.)








New Patient Forms


We would like to welcome you as a new patient of Dr. Kong in Acupuncture & Chinese Medical Center. We look forward to working with you to address all of your health concerns, and we will do all we can to ensure you achieve the best possible results that you can. The confidence and trust you have placed in us is greatly appreciated.

At your first visit, you will need to fill out the forms before your treatment. Please either arrives 10 minutes early before your appointment time to complete these forms, or print and complete them in advance and bring them to the office so that you will have more time to talk to Dr. Kong during your consultation.

As an option, you can bring a list of any supplements/ medications you have been taking, or/and copies of any relevant laboratory results or doctor’s notes.


Patients Regestration Form
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Clinic Informed Consent
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Clinic Policy
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