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FOR NEW PATIENTS

Preparing for an Intake

New Patients: FAQ

INITIAL FORMS

Please download and complete these forms for our intake appointment.  MSWord eForms can be forwarded to me electronically or printed and brought to the appointment.


CONTACT INFORMATION - MSWord eForm or PDF 

INITIAL QUESTIONNAIRE - MSWord eFORM or PDF

TREATMENT CONTRACT - PDF

MEDICATION CONSENT - PDF

CONTACT CONSENT/RELEASE - PDF

CREDIT CARD AUTHORIZATION - PDF

PLEASE GATHER YOUR LABS & STUDIES

Please gather all lab reports possible from past doctor's visits.  Even 10-year old labs can be helpful.  Fax, email or Dropbox them to me before our appointment if possible. Or, bring them with you if this isn't possible.

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Please Note: Request copies of "labs and Studies" only.  Do not request "your chart" or "medical records."  This is a much bigger request to your provider than is necessary and can delay this process.

HOW MANY VISITS WILL IT TAKE?

A typical work-up, treatment plan initiation and followup generally entails an intake appointment, a follow-up one-hour appointment at 4-6 weeks scheduled after labs and genetics return, and a follow-up hour at 10-12 weeks.  However, each person is different and there may be more time needed in this process.

WILL MY INSURANCE COVER MY VISIT?

I request direct payment for services at the time of service.  I provide a superbill or receipt as requested to allow reimbursement from insurance.

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