Dr. Chris D. Meletis

Are you a new patient? Please complete the forms below, and bring them to your first visit.

You can download many of our office forms here. Please click on the form to view the PDF version. If you are unable to download or print the forms please give our front desk a call and we will gladly mail you the proper forms.

The new patient Intake Form will provide us with your contact information as well as a brief health history so that we can conduct the initial visit efficiently and address your entire symptom picture. The last page of the intake form makes reference to our Privacy Practices. You can view those here if you like, or a hard copy in our office. We do not need a printed or signed copy of the entire practices document, just the final page of the intake form that indicates that you have read them.

If you believe that your insurance will cover your visit with one of our doctors, please fill out our Insurance Benefits form. This form will guide you through the investigation with your insurance company to see if your plan includes naturopathic benefits. If you do have coverage, we would be more than happy to bill your insurance company for the visits.

If you believe that you have valuable medical records, such as recent lab work or imaging that would assist us in providing you with the best possible care, please fill out our Request of Records form and mail or fax it to your other health care providers office.

Thank you, we look forward to working with you!