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New Patient Information - Musculoskeletal Regenerative Medicine

New Patient Information

Synergy Health Care is dedicated to providing you the best possible care. With a team of two doctors evaluating you; we work to determine the causes of your health concerns and create a plan to eliminate the problems by treating the cause. 

Insurance

Your insurance is a contract between you and your insurance company. Synergy Health Care is NOT contracted and does not submit to any insurance company plans. All evaluations, consultations, treatments and procedures are considered out-of-network for all insurance companies. You are responsible for the cost of services provided and payment is expected at time of service. 

Regenerative Medicine Therapies such as platelet rich plasma treatments and prolotherapy are not covered by insurance. 

NEW PATIENT FORMS 

Patient Forms

Print and complete. Bring to your first appointment, along with copies of any test results and imaging studies from the past year.  

History Assessment

Quality of Life Assessment

Environmental Detoxification

Medical Toxicity Questionnaire

Readiness Assessment

Diet Diary

Sleep Log

My Story