Please print these five forms: Informed Consent & Office Policies, Screening Questionnaire, JNM Contact Info Insurance Policy, New Patient Intake. They will likely take at least 35 minutes to fill out. DO NOT FILL OUT ANY FORMS ON THE CHARM SITE AS THEY ARE OUTDATED, USE ONLY THE PDFs BELOW
Forms need to be received two days before your First Office Visit or you will be cancelled. Dr. Kimball reads every word ahead of time and there is too much content to read immediately prior to your visit.
Here are your options for how to return the forms: (you must download and print these forms as Dr. Kimball likes to see patient’s handwriting and does not like typed forms)
We no longer suggest taking pictures of forms and emailing as occasionally the “readability quotient” is sub-par.
You will be instructed after the first visit regarding the following two forms.