New Patient Center
Forms
Fill out forms after downloading and printing at home – or fill them out directly online. You can return them in-person, or via email or fax.
Depending on what type of appointment you have, some forms must be returned prior to the appointment
Please fill out all forms thoroughly – and give us a call if you don’t know which one to fill out!
If needed, you can download and install AdobeReader(C) here.
Physical Medicine Paperwork
Nutrition Program Questionnaire
Pediatric Paperwork
Nutrition Food Journal
Nutrition Program Evaluation
Auto Accident Paperwork
Medical or Functional Medicine Paperwork
Payment Options
Insurance
We work with all insurance plans, and are “In Network” with most major providers, including Medicare. Our physical medicine program also accepts auto-accident and personal injury cases that have resulted in acute and/or chronic pain.
No Insurance
For patients who have little or no insurance coverage, we can work with you to arrange a flexible payment program that fits your budget. Whether you have insurance coverage or not, we will help you find a way to receive the care that you need.
Family Plans
In an effort to make living a healthy lifestyle as easy and affordable as possible, we create custom plans for families to receive care together.