- Introductory Patient Information & Practice Policies
- Consent Forms
- Health Questionnaires
- Pediatric New Patient Information & Forms
- Medical Symptom Questionnaire
DID YOU REMEMBER TO…?
- Read all of the practice documents.
- Obtain your medical records and/or test results from previously seen physicians and have them sent to Please visit us at our new location at the Lenox Commons. 55 Pittsfield Road, Lenox, MA 01240, arriving at least 7 days prior to your appointment date.
- Provide your preferred shipping/mailing address; if listing a P.O. Box please indicate a street address for receiving packages via UPS or FED EX
- Provide us with your pharmacy name, address, phone and fax number.
Did you fill out and/or sign the following forms:
- Important Patient Information
- Authorization for Release of Medical Information
- Informed Consent Regarding Email or the Internet Use Of Protected Personal Information
- Research Consent Form
- Notice of Medicare Denial
- General Information
- Medical Questionnaire
- 3-Day Diet Diary
- MSQ – Medical Symptom/Toxicity Questionnaire
THE INITIAL VISIT will include an 80-minute medical consultation with your physician and a 50-minute nutrition consultation.
- Initial 80-minute MD consultation: $1250.00
- Cost of laboratory tests can range from $3,000 to $6,000 and can be prioritized for you.
- Initial Nutrition Consultation: $250.00
- MD Office Visit or Phone Follow-up 50-Minutes: $400.00
- MD Office Visit or Phone Follow-up 25 Minutes: $200.00
- 1st Nutrition Follow-up 50-Minutes: $240.00 each
- Nutrition Office Visit or Phone Follow-up 50-Minutes: $200.00
- Nutrition Office Visit or Phone Follow-up 25-Minutes: $100.00
- Nurse Practitioner Office Visit or Phone Follow-up 50-Minutes: $250.00
- Nurse Practitioner Office Visit or Phone Follow-up 25-Minutes: $125.00
For more information about our fees, see our Practice Policies.