Please click the orange button below to download and complete the new patient paperwork for your first appointment (requires Adobe Reader).
The forms can be filled in on a computer and returned via email or printed out and brought to your appointment. If you need assistance with the forms or are unable to complete them in advance, please arrive 20-30 minutes before your scheduled appointment time to fill them out here.
New Patient Forms
Please bring the following items to your evaluation:
- Driver’s license/CA state ID
- Insurance cards
- Referral/prescription form (if available)
- Recent diagnostic test results (CT, MRI, VNG)
- Medication list *
*Medication list must include dosages and frequency of prescribed and over-the-counter medications, as well as vitamins and supplements.
We are contracted Medicare providers and can bill out-of-network with most PPO plans. We also accept Worker’s Compensation and private pay.
As a courtesy, we will verify your insurance coverage prior to your first appointment and bill your insurance company for treatment.
Deductibles, co-insurance, and payment for products or services not covered by insurance must be made at the time of your visit.
Are You a New Patient?
For your convenience, we have provided our New Patient paperwork in a PDF form. Please download and complete these forms in preparation for your first appointment. We will collect them when we check you in for your evaluation.
Cancellations and No Shows
Our office requires 24 hours notice to cancel or reschedule an appointment. As with other medical practices you visit, we need adequate notice if you aren't coming to a scheduled appointment. This allows us to offer the appointment time to another patient and maintain the therapist's schedule.
Late cancellations and no-shows are subject to a $50 fee.
Do you need to cancel? Call us now.