New Patient Checklists

Did you remember to?

  • Read all of the practice documents.
  • Obtain your medical records and/or test results from previously seen physicians and have them sent to Center for Optimal Health, 242 Michigan Street Suite 202 Sturgeon Bay, WI 54235 arriving at least 3 day prior to initial visit
  • Provide your preferred shipping/mailing address; if listing a P.O. Box please indicate a street address for receiving packages via UPS or FED EX.

Did you fill out and/or sign the following forms:

  • Important Patient Information
  • Authorization for Release of Medical Information
  • Informed Consent Regarding Email or the Internet Use Of Protected Personal Information
  • Notice of Medicare Denial
  • General Information
  • Medical Questionnaire
  • 3-Day Diet Diary
  • MSQ – Medical Symptom/Toxicity Questionnaire
  • Initial 90-120 minute Functional and Nutritional Wellness consultation: $115.00-$150.00
  • Follow-Up Functional and Nutritional Wellness consultations: $40-$75.00
  • Cost of laboratory tests can range from  and can be prioritized for you.
  • Nurse Practitioner Office Visit Initial: $80-$120
  • Nurse Practitioner Office Visit or Phone Follow-up: $40-$60
For more information about our fees, see our Practice Policies.

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