Patient Information
Thank you for making your appointment at NIHA.
We welcome you and look forward to helping you achieve a higher level of health through integrative medicine.
Prior to your first appointment In order to expedite your first appointment please download forms and complete registration and medical/dental history prior to your arrival. 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 thoroughly completed in order to do a comprehensive evaluation.
Dr. Rind's New Patients: Forms must be received 3 days prior to your appointment or we will need to postpone your appointment to allow time for a thorough review of your history.
PATIENT FORMS TO DOWNLOAD:
MEDICAL PATIENTS: Patient Medical Forms
Medicare Eligible Patients: Use Medical Forms above and additional Medicare Opt Out Form
Dr. Rind's Patients:
1) Medical Forms 2) Additional Narrative History Form and Guidelines for Patients and 3) Review of Systems.
Optional Information How Low Metabolism Affects Our Health
Thermography Patients:
1) Medical Forms and 2) Breast Health Questionnaire and Pre-Appointment Instructions
DENTAL PATIENTS: Patient Dental forms
Click Adobe Acrobat to download the free application if you are unable to read these files.
COMPLETED PATIENT FORMS MUST BE FAXED TO 202-237-0017 THREE (3) DAYS BEFORE YOUR APPOINTMENT. Thank you!
Your First Appointment
Please bring your completed forms and any recent laboratory tests, medical reports, and bottles or samples of all prescriptions, medications, herbs, homeopathics, nutritional supplements, vitamins, 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
Payment in full is due at the time of service. We accept cash, check, MasterCard, Visa, Discover and money orders.
