New Patients

By clicking on the below links you can read my Office Policies and Procedures (includes appointment fees), as well as the New Patient Forms and HIPAA form.

New patients are scheduled for a 2-hour time block initially with 2 follow-up appointments, one hour each. Out-of-area patients should plan on spending 2 consecutive days in town so I may follow-up with you the day after (or a couple days after) your initial appointment.

 

Please download the following New Patient Forms to fill out once we have called you and arranged an appointment time.

• Within 48 hours of scheduling your first appointment – submit Policies and Procedures Form (1.0)
• Print and bring in with you to your first appointment –
  1. Form 2A (Male or Female) or 2B for children under age 4
  2. Form 3.0 HIPAA NPP
  3. Form 4.0 (suggested, but not required)

Please make sure you print the correct forms. If you are not sure, please call or email us.

 

1: Policies & Procedures:

DOWNLOAD POLICIES AND PROCEDURES FORM

2A: Adults and Children (age 4 and up!) New Patient History Forms:

Please print, fill out completely, and bring in with you during your appointment along with lab work, supplements, medications, and any orthotics & common footwear.

MALE FORM

FEMALE FORM

2B: Children Under Age 4 and Those With Developmental Delays New Patient History Forms:

Please print, fill out completely, and bring in with you during your child’s appointment along with lab work, supplements, medications, and any orthotics & common footwear.

CHILD FORM

3.0: HIPAA Notice of Privacy Practices:

Please print, read, and sign the last page of the form and bring in with you to your first appointment (required).

HIPAA NOTICE FORM

4.0: Email Correspondence Form:

Please sign this form and bring in with you to your first appointment (suggested but not required).

EMAIL CORRESPONDENCE FORM