Before Your Visit
Before being treated each client MUST HAVE filled out and turned in the following forms:
A) Patient Information
B) Informed Consent Signature Page
C) HIPAA Signature Page
Insurance Verification
If you would like me to verify coverage with your insurance company please submit the Insurance Verification Form to me before you schedule your appointment.
PLEASE DO NOT EMAIL ME YOUR FORMS
Due to the unsecured nature of email and the potential of exposure of your health information to the wrong parties please return your forms by mail or drop it office at my office by sealing forms in an envelope and placing it under the door. You can wait to hand in additional paperwork at your first appointment.
Minor Clients
As per California law, BOTH parents signature of authorization to treat any minor (17 years age or less) OR a copy of legal documentation authorizing one parent to make sole medical decisions is required.