NEW PATIENT FORMS

Thank you for choosing Lewis Family Natural Health for naturopathic health care. We look forward to meeting you soon!

In preparation for your first appointment, please download and complete the following information forms.

New Patient Series:

Please fill out these forms if you are coming in for the New Patient Series. It is very important that you have these forms filled out before your appointment. You can download them from this website, print them out and bring them with you. If you have not had a chance to fill out these forms ahead of time, then please arrive at least 30 minutes before your scheduled appointment time to fill them out in the office.

Wellness Consultation:

If you are coming in for a one-hour wellness consultation, these are the forms for you to complete.

Acute Illness:

If you are new patient to our office coming in with an acute illness, this is the form for you to complete.

Acute Illness Information Form (download)

UltraLite Weight Loss Program:

Please fill out this form before your first UltraLite appointment.

Records Release Form:

If you need to obtain your records from another health care provider, you can download a PDF version of our records release form. This form should be completed, signed and dated, and sent to your health care provider. If you need help filling it out, please ask.

Records Release Form (download)

Directions to the Office:

Click here for a map and written driving directions.

Additional Information on Appointments

For additional information on what to expect for your appointment, you may want to read the following sections of our website:

Natural Therapies: Details on the most common therapies used, including homeopathy, herbal medicine, nutrition, and detoxification.

Appointments: This details what is included with your appointment and what to expect.

Common Questions: The answers to our most Frequently Asked Questions can be found here. If there is a question we have not answered, please contact us.

Policies

Payment: Payment is expected at the time services are rendered. We accept cash, personal checks, and credit/debit cards (Visa and Mastercard only). There is a $25 fee for returned checks.

Insurance: At this time insurance plans in North Carolina do not cover naturopathic healthcare. Some HSA/Flex spending accounts will cover our services and products; please check with your plan for details.

Cancellation policy: We have a 48-hour cancellation policy. For cancellations made less than 48-hours before your scheduled appointment, we reserve the right to charge a $50 fee. Missed appointments with no notice given will be billed for the full amount of the scheduled visit. We are willing to make exceptions for true emergencies that may prevent you from keeping your appointment; please contact us as soon as possible to make arrangements.

Fee Schedule

For a complete listing of our prices and services, you may download our fee schedule here.

NEW PATIENT FORMS