Office Visit

Office Visit

FIRST VISIT:

We request upon your first visit that you fill out medical history and your needs on printed forms, or you can download them here, fill them out ahead of time and bring them to the office. We can also receive them electronically.

New Patient Forms

Also, please read the forms below. You do not have to print the forms. You will sign these from when you visit the office.

Notice of Privacy Practices

Arbitration Agreement (Acupuncture)

Arbitration Agreement (Chiropractic)

INSURANCE:

We are not accepting Covered California insurance.
Car Insurance
1) Medical Payments Coverage will pay reasonable and necessary medical and funeral expenses for covered persons.
2) Uninsured Motorist Coverage will pay for damages when you are injured in a car accident caused by another person who does not have sufficient liability insurance. Medical expenses, pain and suffering, and lost wages are some examples of bodily injury damages.
3) If you and other driver do not own insurance, you are fully responsible to pay your medical bill.

CHARGES:

Treatment charges depend on duration of treatment and type of treatment. First visit evaluations are $90. Follow up treatments usually lasting from 30 - 60 minutes are $70, which may be Chiropractic treatment, Acupuncture, electronic stimulation, heat treatment, ultrasound, soft tissue manipulation or other techniques. If you would like to give a healing present to a friend or relative, gift certificates for a 1 hour treatment are $80 and are available at the office.

APPOINTMENT POLICIES:

Rather than using the standard practice of charging patients a fee for not canceling an appointment, our clinic relies on the moral sense of our patients. As a courtesy to other patients that will be waiting to see the doctors, we ask that you give 24 hours notice for cancellations and reschedule. We rely on your considerate nature to make this work. We treat and support many dancers, actors, professional athletes and others who sometimes have auditions or other events with sudden schedule changes. We support your activities by being flexible, and ask that you understand our need to support all of our clients and may require changes on our part, e.g. treatment by the other doctor from time to time.

 

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