For the convenience of our new patients, the paperwork needed for your first visit can be found below. You have two options for completion:
Please note: We are currently only accepting new patients for thyroid nodule biopsy, RFA (radiofrequency ablation), or PEI (percutaneous ethanol injection).
TYPE
YOUR RESPONSES
Click the link(s) below and open the form(s) in Acrobat. Chose File>Save As... to save the form(s) to your hard drive before completing, otherwise your typed responses will not be saved. Be sure to print all completed forms and bring them to your appointment.
ï…‹ï…‹WRITE
YOUR RESPONSES
Click the link(s) below. When the PDF opens, click the print icon in the upper right-hand corner. The Print Dialog box opens. Under Destination, choose your printer and then click the print button at the bottom of the dialog box. Fill in your answers and be sure to bring your completed forms to your appointment.
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Download ALL New Patient Forms at Once
OR Download Individual Forms
Consent for Evaluation or Treatment
Acknowledgment of Receipt of Privacy Practices
The Metabolic Center for Wellness charges all patients an annual fee of $195. The annual fee covers the practice
enhancements and access that are not covered by insurance. All medical visits will be billed separately.
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Please feel free to call our office if you have any questions.
Thank you in advance for your cooperation!