Patient Paperwork

To become a new patient, please print and fill out New Patient Paperwork and HIPAA/No Show Form below. You may fax, mail or drop paperwork off to our office. Once we receive your paperwork, you will be contacted to discuss our policies and schedule your first appointment. Please bring in your insurance card(s), driver’s license, and co-pay and arrive 15 minutes ahead of your scheduled appointment. If you have a deductible, a $40 fee will be charged at time of check-in.

If you have not been seen in over THREE years, you are considered a new patient and will need to follow instructions to become a new patient.

We have a $50 fee for appointments not canceled 24 hours before appointment or for a missed appointment.

Print

New Patient Paperwork

HIPAA/No Show Form

Read

Notice of Privacy Practices

Birmingham Integrative Health Policies