New Patient Information

As a courtesy, Wildflower Natural Medicine will bill your insurance company for your visits. It is your responsibility to know your insurance coverage details. Please use the form below to verify your insurance benefits.

Insurance Verification Form

Please print and complete the following documents prior to your appointment

  1. HIPAA Notice of Privacy Practices and Consent
  2. Informed Consent and Request for Naturopathic Medical Care
  3. Office Policies and Financial Agreement
  4. New Patient Intake Form

For your review (no need to print): HIPAA Notification Document

For patients transferring locations: Release of Records from PREMA