New Patient Checklists
- 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
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