Policy & Forms
Your Guide to New Health
Below you will find pertinent information regarding my practice. Once you have confirmed an initial appointment, be sure to download all forms below. Completed intake forms should be mailed or emailed prior your first appointment.
Your Responsibility
You are responsible for contacting your insurance company and/or physician, and obtaining referral authorization for my services. You should familiarize yourself with information regarding deductibles and co-pays. See your subscriber manual or the back of your insurance card for telephone numbers and instructions.
Cancellations
Your appointment time is reserved for you exclusively. Please give at least 24 hours notice for cancellations or you will be charged a late cancellation fee of $60.00.
Availability/Emergencies
I have a voicemail that I check frequently throughout the day should you need to contact me with messages and/or cancellations. My phone number is 781-405-4857.
Should you not get a call back within a timely fashion, please dial 911 and proceed to the nearest emergency room for immediate assistance.
Forms
Remember to complete and review the following forms prior to your initial appointment.
* If you would like intake form to be editable, download the form while using Google Chrome as your browser.