New Patient Information

Dr. Jeffrey Benton, D.C., N.D.

Hello,

Congratulations on your decision to take a proactive step towards better health!   I really look forward to working with you and helping to guide you through this incredibly important process.  My goal is to build a relationship and create a space with you in which we can work together to empower you with better health!  I will be educating you, supporting you, and encouraging you to make the necessary changes for the goal of better health.  I like to get a very thorough picture of where you are at today with your health.  This involves a lot of questions about you and your history.  The first step in gathering this information is for you to fill out the Health History Summary form provided below. 

I am providing you with several forms.

Please fill out the Welcome Packet and the NT-Form.

Yes – it is a long form.  But, please trust that all the questions asked are very important for me to be able to get the full picture of you.   Please take the time to fill this out thoroughly and bring it in with you to your first visit.  It also may be necessary to have some laboratory work done to get a picture of your body’s biochemical picture. 

I ask you to please bring in copies of any blood work you are able to access from the last 6 months.  Or, I would be happy to make copies of the labs at my office.  I also want you to have a clear understanding of my financial policy, so I ask that you read this policy at the end of the intake and also sign this to bring in with you to your first visit, along with the intake form filled out.   Please feel free to contact my staff if you have any questions about your first visit with me.

Thank you so much and I look forward to meeting you.

Dr. Benton