Forms

Intake forms:

Intake forms will be e-mailed to you within 2 business days of booking your appointment.  Please e-mail [email protected] if you have not received your intake forms.

Office policies:

Our office policies are included in your electronic intake form.

Verify insurance:

We are happy to submit a claim to your insurer for you.  We are in-network physicians with many insurance plans.  However, many individual plans specifically exclude naturopathic services.   You are responsible for verifying your insurance benefits, and you will be responsible for paying the portion that your insurance does not cover.

Verify Your Insurance Benefits MWH

Optional forms:

For your convenience, you may fill out these forms if necessary

Release of Records Request

Patient Authorization for Disclosure of Protected Health Information