Required paperwork for new patients is extensive. I highly
recommend downloading all 5 of the forms below and completing them before arriving
for your first visit.
1) New Patient Information and Health History
*The form above is very long. If you decide to print this as a double sided document to save paper PLEASE print the back side (even numbered pages) UPSIDE DOWN. (this makes it much easier to read once it is in your chart).
2) Insurance Information
3) Clinic Policies
4) Privacy Policies
5) Consent for Treatment
If you are coming in to address issues of fatigue, chronic aches and pains, mental fog, menstrual issues, headaches, or thyroid issues, please also consider downloading and completing this temperature log before your first visit.
Temperature Log
As a naturopathic physician, acupuncturist,
and massage therapist (multi-credentialed provider), I am a bit of an
insurance anomaly. In addition every insurance policy is unique in
it's benefit details and limitations. Many patients find it both
helpful and educational to clarify thier insurance coverage using our
Insurance Information form as a guideline for asking clarifying
questions about their policy.
Please note: we do not confirm
insurance coverage or benefit details for our patients. Please
clarify your coverage with your provider and indicate details on the
insurance form before arriving for your first visit.