Dear New Client:
It is extremely helpful if you prepare some information before your
first appointment, to ensure that the visit is as thorough and useful
as possible. Click here for the attached
questionnaire* . Please complete the questionnaire and fill out
the diet diary for any three days in a row between now and your scheduled
visit. The diet diary is both a list of what you eat meal by meal
and brief notes on how you felt on those days. If existing symptoms
are worse at any particular time, please note when.
If another physician has ordered laboratory work in the previous twelve
months, please call their office and ask that a copy of the results
be sent either to you or to me, hopefully before the first visit.
Thank you for putting your time into this preparation. Please remember
to bring it with you to your appointment on _______________________
at__________. These forms greatly facilitate the visit.
If you need to cancel this appointment, please call 24-hours in advance. Barring emergencies, there will be a $120 charge for missed first appointments
that are not canceled 24 hours in advance.
I look forward to meeting you.
Sincerely,
Hilary Back, N.D., L.Ac. |
