Please, read this form, sign, and bring it with you to your appointment.
Extent of Services: Asheville Integrative Medicine is an outpatient consulting practice, including consultation in Internal Medicine and Family Practice, Nutrition and health counseling, IV therapies, Anti-Aging therapies, and Bio-Identical Hormone Replacement Therapy. We focus on “bridging the gap” between conventional and alternative health care.
Please be aware that the treatments you will be offered at AIM may be very different that what is offered through conventional physicians who practice the usual “Standard of Care”. As often as possible, we will attempt to help you reduce prescription medications, find and reverse the root causes of illness, and use natural and nutritional substances to re-balance your system. In general, these approaches are usually much safer than conventional treatments, with fewer side effects, but they are also more likely to not be FDA-approved. Please realize that you always have the final decision in choosing your treatment program.
We do not provide services in primary care or hospital care, but we can act as a liaison with other physicians and practitioners. We advise that you have a primary-care physician and we desire to communicate with them, but only with your permission. We are available only during scheduled office hours. We are not available for after-hours emergencies.
Fees and Billing: Payment is expected at the time of service, unless prior arrangements have been agreed upon. We do not accept assignment for any insurance, we do not participate in any insurance plans, and we do not file insurance. Your insurance may re-imburse you for “out-of-network” expenses incurred here. We will provide the necessary papers so you may file your private insurance, however, we are not responsible for non-payment by your insurance company. We have “Opted Out” of Medicare, so Medicare will not pay for office visits or procedures here, but will still pay for many labs.
The initial office visit with Dr. Biddle or Dr. Willingham is $345.00, and with Anne Walch PA or John Paul McNeil PA is $295.00. Additional charges may be incurred for other services, tests, or products, but these are strictly at your own discretion and choice. All fees are your sole responsibility.
Office Hours: Office hours are Monday through Thursday, 9 AM to 5 PM. We strive to stay on schedule while still providing each client with the best attention possible.
Appointments: Your
commitment to an appointment time is necessary for us to serve you. If
you need to cancel or reschedule a new-client appointment, advance notice
of one week prior to your visit is required, if you do not call one week
prior, you will forfeit your deposit. For follow-up
appointments, advance notice of one business day is required. Lack
of advance notice and “no-shows” will result in a fee to you.
(Please note that we are closed on Fridays, so if your appointment is on a
Monday, you must call before 5:00 PM on the prior Tuesday for a new
appointment, or the prior Thursday for a regular appointment, to avoid the
missed-appointment fee or the forfeit of your deposit.)
Deposit: We require a $100.00 deposit to reserve a new patient slot for a first appointment. This deposit will be credited toward the charges of your first visit. If you must change or cancel your appointment, your deposit will be refunded provided a one week notice is given, as explained above.
Supplements: We provide a list of your recommended supplements and their dosages, so that you can purchase them where you desire.
Consent to Treat:
The information that I have given to Asheville Integrative Medicine is complete and true to the best of my knowledge. I authorize the doctors and staff of AIM to administer such procedures and treatment as they deem necessary and that I find agreeable. I understand that AIM implies no guarantees of cure, that I have the right to choose my treatment plan, and that I may refuse any or all treatment suggestions at any time. I acknowledge that I have been given no guarantees or warranties, expressed or implied, regarding the outcome of these procedures. I acknowledge that I have not been asked to discontinue care provided by any specialists or my primary care physician. I understand that these are widely used and accepted therapies among Integrative Health Practitioners, but are not considered mainstream therapies among conventional physicians. I have read and understand the policies set forth above.
Name (please print):
