NEW PATIENT PACKET & APPOINTMENT
Please call 801.531.8340 to schedule appointments.
Give yourself ample time to complete this important intake information. Allow at least an hour to thoroughly complete.
INFORMATION FOR YOUR FIRST VISIT
1. Please READ and FILL OUT this information packet COMPLETELY as indicated in the cover letter. Your visit will be more productive if you are as thorough as possible. Download and print out single-sided only.
2. Bring copies of all relevant medical test results as well as copies of any labs or tests done within the last year. If you are having them sent, our fax number is 801.531.8350.
3. Bring any medications, vitamins or nutritional supplements and herbs you are taking. Include any that are taken intermittently over the last year as well. The forms we have included will save valuable time in your appointment when completed thoughtfully and thoroughly. In addition to organizing and gathering information these questions are meant to increase your awareness of your body and habits. The experience of vibrant well being can never be achieved in isolation from the entirety of your life. All of our choices, from the food we eat to our financial investments, ultimately affect our health and well being.
1. Please READ and FILL OUT this information packet COMPLETELY as indicated in the cover letter. Your visit will be more productive if you are as thorough as possible. Download and print out single-sided only.
2. Bring copies of all relevant medical test results as well as copies of any labs or tests done within the last year. If you are having them sent, our fax number is 801.531.8350.
3. Bring any medications, vitamins or nutritional supplements and herbs you are taking. Include any that are taken intermittently over the last year as well. The forms we have included will save valuable time in your appointment when completed thoughtfully and thoroughly. In addition to organizing and gathering information these questions are meant to increase your awareness of your body and habits. The experience of vibrant well being can never be achieved in isolation from the entirety of your life. All of our choices, from the food we eat to our financial investments, ultimately affect our health and well being.
*** If you arrive more than fifteen (15) minutes late for your scheduled appointment time,
it will be necessary to reschedule.
It is not possible for the doctor to cover everything required in a shortened appointment.
If this occurs, you will be expected to pay for both the missed appointment
and the rescheduled appointment
as per our Cancellation & Late Arrival Policy. ***
it will be necessary to reschedule.
It is not possible for the doctor to cover everything required in a shortened appointment.
If this occurs, you will be expected to pay for both the missed appointment
and the rescheduled appointment
as per our Cancellation & Late Arrival Policy. ***
Note: These forms are confidential. However, if for any reason, you feel uncomfortable answering any questions or having specific written information in your medical records, please leave those sections blank and discuss them with me as best as you can. All information that is written may be sent to your insurance company in effort to help you get reimbursement for you office visits.