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If this is your First Visit or a Re-Assessment, please arrive 30 minutes prior to your appointment to fill out a Consent Form, and Case History Form.

Also, please wear comfortable, loose fitted clothing for maximum comfort.

Doctor's Office

60 Min Initial Visit (New Patients)


Initial Consultation, Assessment and Treatment. (please scroll for Forms)

Initial Consultation, Assessment and Treatment. 


30 Min Follow Up (Acupuncture)


Follow up Acupuncture (for treating 1 health concern)

30 Minute follow up Acupuncture Session.

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45 Min Follow Up (Acupuncture)


Follow up Acupuncture (for more than 1 health concerns)

Including Modalities (Acute Conditions).


30 Min Reassessment & Treatment


30 minute reassessment and treatment (if you haven't seen Kira Benoot in more than 1 year). 

30 minute reassessment and treatment (if required). 

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60 Min Follow Up (with Modalities)


Including Modalities with Cupping, Gua Sha, Acu-Kin tape, Ear Seeds, Dietary Therapy, OR Tui Na

60 minute reassessment and treatment (if required). 


Regarding New Patients, these forms can be printed and filled out prior to your appointment time and a hard copy given to us directly before your appointment, or you can come 30 mins before your appointment to complete the paperwork.



We accept Debit, Cash, Visa, MasterCard and Etransfer.

Direct Billing:

With proper identification, Extended Health Care Insurance Billing may be available, please inquire at the Clinic.



Missed Appointment / Cancellation Policy: 

To accommodate patients on our cancellation list, we require a 6 hour notice to cancel or change your appointment, missed appointments will require a charge. Please contact us directly if you are unable to keep your appointment. 

Payment Method
Filling Out a Medical Form
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