Patient Registration

Click the button below to download our patient registration form. Please fill out this PDF form, save your file, and email it to us via office@olivebwc.com as soon as possible before your appointment.

Patient Registration Form

Required Initial Intake

A visit to a Naturopathic doctor is definitely worth the time and effort you put into it. You are encouraged to be an active participant in your health. You may be surprised at how much emphasis is given to the initial intake. At your initial intake you will be asked to bring any supplements you are taking to assess their dosing and quality, specifically in regards to your personal needs. You will also be asked to bring a list of prescription medications you are taking so that we can be certain there are no interactions between the prescriptions and any supplements or any foods you may use. This initial intake will last about one hour and will provide an opportunity for the Doctor as Teacher to be one of your first experiences, as you become educated about your health. For your first visit, you will also be asked to bring any other pertinent information you have so your personal plan can be further tailored to you.

Payment

Payment is due in full at the time of visit. Cash, Checks, Visa, Master Card, and Discover are accepted forms of payment.

About Payment and Insurance Coverage

While Olive Branch does not accept and process insurance claims we are more than happy to give our paperwork so you may submit it on your own to your insurance company. We have found in the past that some of our patients are happily reimbursed from their insurance companies, their Flex Spending Account’s, Health Savings Account’s or the amount is applied to their deductible and that depends on their individual policy, We do however accept Visa, Master, Discover, Cash or Checks. Olive Branch Wellness Center also partners with Blispay to give you an affordable option for financing your care.

Cancellation Policy

Olive Branch Wellness requires a 24 hour advance notice in order for any appointment to be cancelled without incurring a cancellation fee. Cancellations must have been received during regular business hours, Monday through Friday, 10am – 7pm. Any appointment canceled at other times or not with 24 hour’s notice will be charged $200.00.