New Patient Information
To Schedule an Appointment:
Call 202-237-7000 ext. 0
Established patients may schedule via the Patient Portal
Additional forms may be required for your appointment:
Consent for Medical Release: Medical Release Form
Lab Survey: Lab Survey Documents
Click Adobe Acrobat to download the free application if you are unable to read these files.
PRESCRIPTION REFILLS Please have your pharmacy fax the refill request to FAX # 202-237-0017.
PREPARING FOR YOUR APPOINTMENT
Thank you for choosing NIHA for your integrative medical and dental care. Please download patient forms and complete them prior to your arrival. We take a very thorough history and it may take up to one hour to complete these forms, and we want you to get the maximum benefit from your time here.
If forms are not completed before your appointment, please arrive at least one (1) hour prior to your scheduled appointment. These must be completed in order to do a comprehensive evaluation.
Please bring your completed forms and recent medical records, laboratory tests, medical reports, x-ray reports, and bottles or names of all prescription medications, vitamins, minerals, herbs, homeopathics, and other nutritional supplements etc. that you are presently taking. This is extremely helpful for your initial evaluation. We encourage you to prepare any written questions ahead of time and bring them to your initial appointment.
Fragrance Free Office
In order to accommodate our chemically sensitive or allergic patients we kindly ask that you not wear perfume, cologne or scented lotions on your appointment days.
Payment in full is due at the time of service. We accept cash, check, MasterCard, Visa, Discover and money orders.
NIHA has underground garage parking. The garage is located on Jenifer Street north of Wisconsin Ave. Turn right at the first ramp into the parking garage. For handicap access turn right at the second ramp and push the intercom for designated parking space and elevator access.
We offer our patients comprehensive health care which limits the ability to work within the limitations of most contractual agreements for health insurance. Payment is required at the time of service. NIHA does not accept assignment or file or coordinate insurance reimbursements although we do provide information on the services rendered for you to submit.
You are responsible for filing your own claim and following up as needed. Please be advised, however, that many of the services provided are not covered by most insurance companies. Please contact your insurance company directly for information on your coverage. We are not providers for HMO insurance, Medicare, or Medicaid. The specific information below should assist you with filing for insurance reimbursement.
Our goal in Holistic Family Dentistry is to maximize your out-of-network dental benefits and minimize out-of-pocket expenses. As a courtesy, we will file your dental claim form to your insurance company to assist you in getting reimbursement, and provide a receipt for the services rendered. Payment is due at the time of service.
Effective July 1, 2016, we will be an out-of-network provider with ALL insurance companies.
What does this mean for you and your family?
We will ask you to pay for your dental services in full on the date of service, and we will file your dental claim on your behalf to maximize your reimbursement benefits and minimize out-of-pocket expenses.
Faster reimbursement for MetLife and Guardian Insurance
For all out-of-network patients with Metlife and Guardian dental insurances, we are able to expedite your dental claims through faster electronic methods and get your return of dental benefits back to you now in approximately 7 days.
Our goal is to provide you with the highest quality medical care and necessary information for maximizing your insurance benefits and minimizing your out-of-pocket expenses. You will receive a medical claim form that will include all information for you to file for insurance reimbursement, along with a receipt for services rendered. NIHA is an out-of-network provider only and does not participate with insurance companies or other provider networks.
Payment is due at the time of service unless other arrangements have been made in advance. We generally do not accept assignment of insurance payments.
Insurance claim forms and information are provided to patients at the time of visit for submission to your insurance company. While submission of claim forms is the patient's responsibility, you will receive at the time of check-out everything that you need to immediately file your claim.
NOT RECOGNIZED CARE
NIHA reserves the right in preparing claim submissions to include those procedural codes or other data that accurately reflect services, and to invoice non-covered services using internal descriptions without the use of procedural codes. Please understand that your insurance company may deny coverage because of differences between integrative and conventional medicine. Please contact your insurance company directly for information on your coverage. NIHA will make every effort to provide sufficient information to allow an insurer to determine what services it will reimburse, but it is not responsible for any insurance company decision.
Tracy Freeman, MD may provide limited primary care services as defined by mutual written agreement. Dr. Freeman is an out of network provider. You will receive a medical claim form that will include all information for you to file for insurance reimbursement, along with a receipt for services rendered.
Medicare will not cover any services or procedures performed at NIHA, as the doctors have opted out entirely of the Medicare program. Claims cannot be submitted to Medicare and patient is financially responsible for any services or procedures received. However, several of our medical doctors do provide Medicare patients a discount. Please ask for further information at the time you make your appointment. If a patient has secondary insurance, we will provide an opt-out letter to assist in getting coverage.
NIHA is a nonparticipating Tricare provider, and Tricare patients are responsible for payment of NIHA’s full fee schedule at time of service and will receive reimbursement directly from the Tricare carrier for the amounts payable under Tricare’s fee schedule. In order for NIHA to bill its service rates, Tricare patients must review and sign a Request for Non-Covered Services that will give advance notice of anticipated fees.
INSURANCE BILLING SERVICES
There are individuals and companies which, for a fee, can assist you with claims filing and reimbursement from insurance or flexible spending account administrators. A list of firms offering these services is available upon request.
NOTE* The Colonial parking garage for NIHA is located on Jenifer St. NW.
From Baltimore & Maryland
EASIEST: Take I-95 South to I-495 West heading toward Rockville.
From I-495 take Exit 34 and stay in the far right lane which forks and loops south onto Wisconsin Ave., Route 355 South. ( Rt. 355 South is Rockville Pike, which turns into Wisconsin Ave.)
Stay on Wisconsin Ave. for about 4 –5 miles, crossing Western Ave. The next light is Jenifer Street. Take a Left on to Jenifer Street. Turn Right down the first ramp into Colonial Parking garage. The elevators for the building are between the parking garage floors, accessible only via steps. The office is on the 4th floor, suite 402.
FASTEST: Take I-95 South to I- 495 West heading toward Rockville.
Stay on I- 495 until Connecticut Ave. (Exit 33) Take Connecticut Ave. South toward Washington, D.C. Go ½ way around Chevy Chase Circle and continue straight on Connecticut Ave.
Turn Right onto Military Rd. and continue for approximately ½ mile
Turn Left onto 43rd St., go to the end of the block where you are forced to turn Right onto Jenifer St. Take a Left down the last ramp (before Wisconsin Ave intersection) into the Colonial Parking garage. The elevators for the building are between the parking garage floors, accessible only via steps. The office is on the 4th floor, suite 402.
From I –95 North take the Capital Beltway ( I- 495 North) toward Tysons Corner and Maryland. Take I –495 North into Maryland, take River Road East (exit 39) toward Washington DC. Follow River Road for approximately 4 miles. Turn Left at Western Ave. and follow for approximately ¼ mile. Turn Right onto Jenifer Street. Follow Jenifer Street across Wisconsin Ave. Turn Right down the first ramp into Colonial Parking garage. The elevators for the building are between the parking garage floors, accessible only via steps. The office is on the 4th floor, suite 402.
Take the Red Line to Friendship Heights Metro Station. Exit the station via the Jenifer Street Exit elevator. Upon leaving Metro station, 5225 Wisconsin Ave is directly across the street. The office is on the 4th floor, suite 402.
There is street level parking in front of the building on 5225 Wisconsin Ave. with access to the lobby.
Or, there is parking on level P-1 of the Colonial Parking garage, with the elevator on the same level. Follow directions above to the Colonial parking garage on Jenifer Street but turn right at the SECOND ramp for entrance to handicap accessible garage. The P-1 entrance has a closed garage door and does not have an attendant, but has a call box and a camera that the attendant uses to remotely open the P-1 door.
Pull-up to the garage door and push the button on the intercom.
An attendant will either answer or remotely raise the garage door-- there will be NO parking ticket provided and none will be needed, as you will not be charged for parking in P-1 for handicap access. Drive into the garage and select one of the handicap parking spaces. Go to the P-1 elevator, which is on the same level as the parking. Select the "Up" button and NIHA is located on the 4th floor, suite 402. If you need assistance, please advise us in advance and we will provide support and a wheel chair if needed.
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