New Client Forms

For all NEW Client Visits – there are 2 forms to complete for your Initial Consultation.
Select either the Nutrition New Client Information or the Chiropractic New Client Information, AND the Metabolic Assessment Form.
You will need to download and read the Notice of Privacy Practices document and sign the page included in the New Client Information.
Thank you and we look forward to seeing you soon.

Functional Medicine New Client Information

Chiropractic New Client Information

Metabolic Assessment Form

Notice of Privacy Practices

Neurotransmitter Assessment Form

Young Adult Intake Form

Children’s Questionnaire

Protected Health Information Authorization Form

Opt Out Protected Health Information Marketing Form

Opt Out Fundraising Activities Form

WHAT TO EXPECT:

                   

For your comprehensive, initial consultation please plan on spending 1.5 – 2 hours with Dr. Slavin.

Follow up appointments are much shorter and usually run about 15-30 minutes.
If lab results are reviewed some follow up appointments may require additional time.

Phone calls and emails requiring more than 15 minutes of Dr. Slavin’s time may be charged at regular hourly rates.

OFFICE POLICIES:

Regular business hours for Functional Wellness are Monday to Friday 8am – 6pm.
On a case by case basis, Dr. Slavin can consult with patients in the evening and on weekends.

We try to return all phone calls and emails by the end of each day, or within 24 hours (this does not include weekends and holidays).

24 hours notice is required for appointment cancellations.
If less than 24 hours notice is provided, you will be charged at least 50% of the cost of your missed visit.

Disclaimer
Any information or advice offered on this site should not in any way be viewed as personal medical advice. The recommendations made in this blog / posting are offered as general information for healthy, physically fit individuals. None of the information provided should be viewed as a replacement for personalized, professional medical treatment or to replace the advice or services of your physician. While Dr. Jacqui Slavin D.C. is a licensed healthcare practitioner in the state of Colorado, the information contained here in no way establishes a doctor-patient relationship between the writer and readers of this website. If you are beginning or resuming a vigorous exercise or nutritional program, it is important to visit your health care provider for a complete physical examination in order to identify and treat any potential risks you might face.