Please call (801) 531-8340 to schedule appointments.
New Patient Packet 2010 (pdf)
INFORMATION FOR YOUR FIRST VISIT
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Please 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.
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| 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 531-8350.
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| 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.
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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.
P.S. 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.
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