Policies & Forms

Payment Policy

Payment is due at the time services are rendered.

Cancellation Policy

If you need to cancel or reschedule your appointment, please notify the office at least 24 hours in advance.

Forms

• HIPAA Privacy Notice [PDF]
• HIPAA Authorization for Release of Information [PDF] *
  
• HIPAA Authorization for Release of Information [online] *
  
• Patient Contact Information [PDF] *
  
• Patient Contact Information [online] *
  
• Nutrition Questionnaire [PDF]
• Nutrition Questionnaire [online]
• Food Log [PDF]

* Must be completed prior to scheduled appointment.