Whole Health Associates LLC
4/20/2014

New Patient Information

We Invite You To Become A New Patient

If you have interest in becoming a new patient at Utah Natural Medicine, please call our receptionist at 801-363-UTAH(8824). We will be happy to answer any questions, help you decide which doctor may be best for you, and schedule an appointment.

When you have made an appointment, you can access all of the necessary forms by clicking on the link below. Download and print these forms and fill them out at your convenience and bring them with you for your appointment. If you have difficulties with the forms for any reason, please call our office and we would be happy to send you them.

These are some steps to help you be prepared for your first appointment.  Being prepared and on time allows you to gain the most from your experience.

  • Bring all medications, herbal medicine, or other supplements with you. 
  • Bring copies of all relevant or recent medical lab results.  If you do not have and are not able to obtain your most recent lab results, please download and complete the Release of Medical Records Request form below and include it with your New Patient Information and Intake Packet.
  • Make copies of the Diet and Lifestyle Diary and fill out as instructed on the form.  You will need to start this diary at least one to two weeks prior to your appointment if you are able to do so.
  • Download and complete all forms in the New Patient Information and Intake Packet below.  This information must be received at Utah Natural Medicine at least one week prior to your first appointment.  You may bring your Diet and Lifestyle Diary with you to the appointment if it is not yet complete one week prior to this date. Failure to mail or fax your forms by this time may result in rescheduling your appointment. 
  • Take a deep breath and get ready to embark on a journey to reclaim your health and vitality!

 

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Clinic Hours

We are open Monday through Thursday 9:00AM to 5:00PM and closed most holidays. 

Doctor Fee Schedule

Many insurance companies, flex plans, and health savings accounts will cover visits with us as Out of Network Providers. For all patients with health insurance and those without insurance, we ask that you pay for your visit at the time of service. We can provide a receipt/ “superbill”, including necessary codes and information for reimbursement for those who wish to submit for having seen an Out of Network Provider. Insurance typically does not reimburse for phone consultations.

Dr. Matthew & Dr. Kate  New Patients:  Adults $275 Pediatrics$175 Return Patients:  Adults $95-125   Pediatrics $55-85 based on time and complexity.

Dr. Rachel   New Patients: $420-480 (11/2 - 2 hours) Return Patients and Follow-up Phone Consultations: $60/15 min Follow-up Convenience Service: $30/5 min (Doctor's time to address a concern (e.g. changing a prescription based on labs) without an appointment or consultation if deemed unnecessary by doctor. This is offered as a convenience for patients if they cannot or prefer to not come in or talk on the phone.)

A $150 deposit is required when you make your appointment.  This amount will be applied to the total amount due at the time of your visit.

Patient Intake Forms

To download our New Patient Information and Intake Packet Click Here.

To download our Breast Thermography Forms Click Here . Note: This is only for those patients coming to our office specifically for a scheduled Thermography appointment. 

Release of Medical Records Request Click Here

If you need only one of our forms you can select them from below.

Patient Information

Intake Form

Diet and Lifestyle Diary

Financial Agreement

Informed Consent

HIPAA

Breast Thermography Intake

UNM Records Requisition

 

 

Use Gift Code VITAL10 and receive a 10% discount off one order from Vital Choice, our choice for top quality superfoods. This offer is valid for patients, their friends, and families. Simply Click on one of the pictures below and use the Gift Code when placing your order. A tasty prescription that's good for you!

Wild, Pure, and Delicious! Delivered right to your door.

   

 
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