5916 Clymer Road • Quakertown, PA 18951
PHONE: 1-800-300-5168 | 215-536-8001
FAX: 215-536-9099
questions@healing.org
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Check List

You will need to fill out all enclosed forms. The forms included are: the health history, demographics, and HIPPA. Most patients find the paper work challenging. We recognize that it is time consuming and may appear complicated; however, the health history is an important part of your initial visit. We recommend you begin early looking over and filling out the forms. You may want to ask a friend to help you. We realize that paper work can be considered daunting, and we appreciate you cooperation in this matter.
  • I have completed the health history.
  • I have completed the demographic forms.
  • I have completed the HIPPA form.

Test Results

  • I have compiled all pertinent test results for Dr. Neville’s review.

Directions

  • I have familiarized myself with the driving directions including route and distance and allowed extra time for unexpected delays.

Cancellation

  • I am aware that there is a 24-hour cancellation policy.

The Staff at the Clymer Healing Center is committed to helping you through this process. Please call, if you have any questions. Thank you for your cooperation and effort in these areas.