Legal Enrollment Forms
Legal Enrollment Forms

Notice:  We are a cash only practice and use Parasail(click) for medical service loans with low financing.  We do not accept contingency arrangements with your attorney.  
 
To Begin: Please download the file LNPIP 2017 and save it to your computer. You must have Adobe reader to open and fill-out this PDF file. ADOBE READER for MAC or PC
 
Once you fill-out and return the documents as directed, this will initiate a call from our offices to start the process of arranging your lab draw. Based upon your location you can come into the office, walk-in to one of our draw centers, or have a nurse come to your home/office.  Once the labs are drawn and results returned to us we will write a preliminary report before our 60 minute in Office/Phone/Skype review of your results and a discussion of the treatment protocol we have designed for you.  Your treatment supplements and medication are not included in this initial evalaution and can cost between $100 - $250 per month at the start. These are usually not taken for life unless there is a permanent deficiency of hormone(s). It is our goal, over time, to reduce and possibly eliminate your supplement and medication use. This will be based upon your response to your individualized treatment protocol.  At the present time, we are in the process of training other Primary Care Physicians (PCPs) nationally and internationally to provide our services.  -- 
 
 

Legal New Patient Packet