New Client Forms

Once you schedule your appointment with me through Practice Better, New Client Forms will be sent to you. Please complete and submit all forms on Practice Better at least 24 hours in advance of your scheduled appointment. If you have any lab or diagnostic results to share with me, please include a copy of those when you submit your completed forms. 

 

Cancellation Policy

If you need to cancel a scheduled appointment for any reason, you must provide me with a minimum of 24 hour notice. Canceling without 24 hours notice or no-showing for an appointment will result in a $75 fee. 

Privacy Practices 

All New Client and Follow Up Consultation forms will be completed and submitted through Practice Better, a HIPPA compliant telehealth platform I use to ensure your medical information is kept private and confidential. I highly value patient-practitioner confidentiality and will protect your privacy at every step. I will not disclose your medical information for any purpose not listed here without your written authorization. Any written authorization that you provide can be revoked at any time with written notice to me at allison.filepp.rd@gmail.com. I may use medical information about you to provide you with medical treatment or services. I may disclose medical information about you to doctors, nurses, technicians, or other health care providers to assist them in treating you. I may use and disclose your medical information for payment purposes. A bill may be sent to you or a third-party payer. The information on or accompanying this bill may include your medical information.