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New Patient

NEW PATIENT PAPERWORK


Forms and Policies: Intake | HIPPA | Office Policies

Please download and fill out the new patient intake forms prior to your visit.  Please answer all applicable questions to the best of your ability and arrive at least 15 minutes early in order to complete the registration process without running into your scheduled appointment time.

Parking

San Clemente: The office is located on La Pata in the Medical Office Building of Dr David Steenblock (next to Stance/Rip Curl/Surfer’s Journal. Parking is located in front of the office.

Payment Information

Please bring payment in the form of cash, check, or credit card.

Payment will be accepted at time of service.

A super bill will be provided to you and you will be reimbursed based upon your insurance plan.

What to Wear

Please wear comfortable, loose, and athletic clothes that allow for a comfortable exam and treatment.  Please do not wear jeans or tight fitting clothes.

Practice Environment

This is a chemical free/fragrance free office. Please do not wear fragrances of any type in this office, including, but not limited to:

  • Perfumes

  • Colognes

  • Scented antiperspirants/deodorants

  • Powders

  • Hairsprays

  • Laundry detergents and laundry soaps

  • Fabric softeners

Some of our patients and staff have chemical sensitivities or allergies and are strongly affected by chemicals and fragrances.  Please be aware that chemicals and fragrances in fabric softeners and some laundry detergents are too heavily fragranced and should be avoided on days you have an appointment in this office.  If you are wearing perfumes or strong fragrances, you may be asked to leave and not be able to see the doctor for your scheduled appointment.

Pre-Treatment Care

Try to have a little something to eat before, not a heavy meal—and please refrain from drinking coffee before your treatment.

Post-Treatment Care

  1. Drink plenty of water.

  2. Use a combination of heat and cold exposure to enhance blood and lymph flow. Contrast showers are a great addition to a treatment. While showering alternate between warm and cold water 2-3 times.

  3. Do your best to relax after treatment. Although osteopathic manual medicine is gentle roughly 20% of patients experience soreness and fatigue after receiving treatment. If this occurs it usually lasts 1-2 days while the body is integrating the treatment.


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