Patient Resources
Forms, disclosures, & everything you need before your visit.
Download intake paperwork and program forms ahead of your appointment so we can spend our time together focused on your care — not your clipboard.
Patient Forms
Disclosures & HIPAA Acknowledgment
Notice of Privacy Practices, financial responsibility disclosures, and required HIPAA acknowledgments for all new patients.
- 4 PAGES
- All Patients
Insurance Disclosure Form
Insurance verification and assignment-of-benefits acknowledgment, including disclosures specific to in-network and out-of-network coverage.
- 2 PAGES
- All Patients
New Patient Packet
Complete intake paperwork including medical history, current medications, symptom review, and consent for treatment.
- 8 PAGES
- New Patients
Program Forms
Patient Food & Activity Log
Patients enrolled in our Weight Management, Hormone Optimization, TRT, Lean Muscle Gain, or Primary Care Metabolic Health programs are required to complete a Weekly Food & Activity Log as part of their treatment plan. This log is a mandatory component for insurance documentation and medical necessity compliance. You will receive this form during onboarding, and your provider will review it at each visit. Consistent tracking is essential for your care plan and continued coverage.
- Doc
- 7 PAGES
- Program Form
Questions about your forms or coverage?
Our front desk team can walk you through the paperwork, confirm your insurance benefits, and answer questions about pharmacy options or program requirements before your visit.