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Writing to Heal

New Patient Forms & Arrival Time

New Patient Intake Form - To provide you with the best treatment possible, it's important for us to get to know your medical history and health goals.
*Please TEXT the completed document to (203)451-9865 IN ADVANCE for us to prepare for your visit. Thank you.

Notice of Privacy Practices (HIPAA) - This notice is for your records. We do not sell, share, distribute, rent, or profit from your confidential info.

Lateness is considered 15 mins after your appt time

Your appointment time is reserved exclusively for you.
We appreciate a text if you are running 5-10 mins late.  (203)451-9865

48 Hours Notice Required to Cancel/Reschedule

It is the patient’s responsibility to cancel or reschedule appointments. We respect your time at our clinic and reserve your appointment room just for you. So please respect our time and communicate with us in advance. You can text, email, or call us. Thank you. 

Missed Appointment Fee

We charge a single session rate of $200/hr for a no show or missed appointment.
We uphold this policy for all new and returning patients. Thank you. 

New Patient Paperwork - Katherine Kim Acupuncture Arts in Westport, Fairfield, CT

TWO LOCATIONS

Katherine Kim Acupuncture Arts
212 Post Road West
Westport, CT 06880 USA

Hartford Healthcare
St. Vincent's Cancer Institute, Wellness Spa, 3rd Floor
2800 Main St. Bridgeport, CT 06606

Dr. Katherine Echo Kim, LAc.
Doctor of Acupuncture
Integrative Medicine Specialist
AcuDetox Specialist

By Appointment Only
Call/Txt (203)451-9865