Hill Park Medical Center

New Patients

Welcome to Hill Park Medical Center!

Take a Deep Breath
We are not in a hurry. The kind of health care we practice takes time. Your first appointment will take between 60 and 90 minutes. Your practitioner will be asking you lots of questions to really get to know you and your health concerns. Together you will put together a treatment plan. Your follow up visits are usually 30–60 minutes.


New Patient forms
Please download and fill out the below New Patient Intake Forms before your first appointment. If you have questions, please call our front office.
Click on each title below to download pdf versions of the new patient intake forms:

• Patient Registration Form (176K pdf)
• Patient Medical Data (84K pdf)
• Health History (84K pdf)
• Lifestyle and Habits (84K pdf)
• Review of Systems Part 1 (88K pdf)
• Review of Systems Part 2 (108K pdf)
• Female Hormone Questionnaire (380K pdf)
• Pain Location Chart for Women (316K pdf)
• Pain Location Chart for Men (380K pdf)

“Day of” Info

• Our office staff will call you the day before your appointment to remind you.
• Please avoid caffeine for three hours before your appointment.
• We have patients with chemical sensitivities so please avoid wearing perfume or other scented lotions or hair products on the day of your appointment. We appreciate it!

Cancellation Policy
If you need to cancel an appointment or change the time or date please call as soon as possible. We charge for missed appointments or those cancelled with less than 48 hours notice if we are unable to fill your time slot from our waiting list.

Fees and Payment
Each practitioner at Hill Park has an individual fee schedule. Fees are based on the complexity of your needs and the length of time spent with you. We ask for payment at time of service and accept personal checks, Visa, MasterCard or cash. Please discuss any fee or payment concerns with the front office staff.

Insurance
Currently some of our practitioners accept Workers Compensation Insurance and Automobile Liability Insurance.

For all insurance carriers we provide you with a “superbill” which you then submit to your own health insurance company. We provide accurate diagnosis and procedure codes to help increase your reimbursement levels. Most health insurance companies reimburse you for the physician visit and many do so for acupuncture.

Emergency and After Hours Care
We treat many kinds of health needs but our doctors are not on call after hours and do not admit patients to the hospital. We are happy to handle problems that arise during office hours but strongly suggest that you have a primary care physician for urgent or after hours medical problems. Thank you and we look forward to meeting you.