New Patient Form
For new patients, please complete the documents bellow before your first appointment. An adult or pediatric health history form must be completed along with a record of release.
General Information & Resources
Welcome to the Center for Integral Health. The initial visit will be approximately two hours for adults and one to two hours for children. Follow-up visits are scheduled 4-6 weeks after the initial visit and are approximately 30-60 minutes in length. At the end of the first visit, your doctor may give you a Follow-up Visit Report Form which you should bring to your second appointment. Please consider if you would like to volunteer to have your case videotaped. We would like to use the tape to help teach students homeopathic medicine. There is a video consent form which you can sign.
Fees – Non Medicare
Initial Office Visit
Adult: (13 years and up) ………………$475
Child: (3-12 years) ………………………$290 up to 2 hours**
Infant: (0-2 years) ………………………..$200 up to 1 1/4 hours**
**There will be additional charges if more time is needed.
Return Visits (all ages) ……………………….. $85.00-$200.00
Telephone Consults & E-mail ……………… $2.00-$4.00 per minute (depending on complexity and timing of call), with a minimum charge of
$25.00 per consultation (time reading e-mails and researching case will also be charged).
Fees – Medicare
Initial Office Visit-Adult …………………….. $327.62 to $434.67 up to 2 1/4 hours** Return Visits ……………………………………….$22.18 to $153.12 **There will be additional charges if more time is needed.
All Office Visit
A 48-hour notice is required on all cancellations, otherwise charges for that visit will be billed to your account.
Returning Patient Form
Upon consultation with your homeopathic practitioner, patients may be requested to complete either forms bellow.