Before being treated each client MUST HAVE filled out and turned in the following forms:
A) Patient Information
B) Informed Consent Signature Page
C) HIPPA Signature Page
I HIGHLY encourage you to contact your insurance company before your first visit with me. To avoid any “surprises” you will want to verify your co-pay and deductible amount.
Due to the unsecured nature of email and the potential of exposure of your health information to the worng parties please wait to hand in your paperwork at your first appointment.
Once you make an appointment you will receive a confirmation email with a link to the secure Patient Portal where you can fill out and upload your paperwork.
As per California law, I need BOTH parents signature of authorization to treat any minor (17 years age or less) OR a copy of legal documentation authorizing one parent to make sole medical decisions.