before your first visit

If you have any additional questions, call 703-622-2993 or e-mail mpayne@hmhealth4u.com

If you download, print and complete the forms below before we meet, we will cut down on administrative time during your first visit. The individual questionnaire helps me get to know you, your history, and your current concerns. The other three forms are designed to establish a clear, mutual understanding of the business side of our work together. Feel free to ask about anything that is unclear and mention any questions or concerns that you have before signing and dating the agreements.

INDIVIDUAL QUESTIONNAIRE

ADMINISTRATIVE AGREEMENT

CONFIDENTIALITY

INFORMED CONSENT FOR TREATMENT