Prior to your initial visit, please complete send us the following via email, snail mail or fax –
- A completed health form (see below)
- A completed consent form (see below)
- All lab results, imaging reports and/or pathology reports (not actual images, only reports) from the past 2 years
- A timeline of your health history
- A list of all current medications
- A list of all current supplements (with FULL label photos)
- (optional) Please use this LINK to create a spreadsheet of your labwork if desired:
Mail it to us at: GW Center For Integrative Medicine – 908 New Hampshire Ave Suite 200 Washington, DC 20037
We will call you within 48 hours after our Medical Director has reviewed the forms to set up the first evaluation appointment. Please contact us if you do not hear from us to make sure that your form has been received.
We look forward to meeting you.
[Note: The forms are viewed and printed using Adobe Acrobat Reader, included with most computers. If you do not have a copy, go to http://get.adobe.com/reader/ for a quick, easy and free download.]
PRINT AND SEND TO US:
- Adult Patient Health Intake Form
- or Pediatric Patient Health Intake (under 12 years old)
- Consent forms
When you need to cancel an appointment, we would appreciate your consideration for our providers’ time that has been set aside for you, and for the time to review your medical history that you sent us.
If you cancel less than two business days prior to the initial appointment (48 hours, Saturday for a Monday appointment), there will be a charge equal to 100% of the provider’s fee.