New Patient Intake Forms, Policies, and Fee Schedule
Complete Your New Patient Intake Forms Online
In preparation for your first appointment, please complete the following information forms.
These forms are designed to help us learn as much about you as we can before your first visit. They may take some time to fill out, so don’t wait until the last minute to start working on them!
You may complete these forms online using our secure, HIPAA-compliant platform.
Please submit these completed forms to our office 48-hours before your first visit so your naturopathic doctor will have a chance to review them ahead of time.
(Prefer to fill out your forms by hand? Download and print a paper copy using this link. We also have hard copies available that we can mail upon request.)
Policies and Fee Schedule
Payment: Payment is expected at the time services are rendered. We accept cash, personal checks, and most major credit/debit cards. There is a $25 fee for returned checks.
Deposit: Because our doctors only schedule one patient at a time, we ask for a $100 deposit to reserve all new patient visits. This deposit is applied to the cost of the first visit, and is fully refundable (minus a $15 processing fee) for appointments changed with at least 48-hours (2 business days) notice.
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 for follow-ups; new patient visits will forfeit the $100 deposit. 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.
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.