New Patients

We are honored that you have chosen us to help your child achieve his/her health goals. This is your New Patient Information Packet. Please read, fill out and sign the attached forms and bring them with you to your appointment, unless you have been instructed to send them prior to your appointment.

Medical Records

Before your child’s initial evaluation, please contact her primary care provider as well as specialty physicians to have them send us copies of any pertinent medical records and recent laboratory results. (Please have them send us a copy of any pertinent x-ray reports, NOT the actual copies of x-rays.) It may be more efficient for you to obtain the copies of these medical records yourself and bring them with you to the initial evaluation.

Initial Consultation (1 hour)

During the initial consultation, a comprehensive review of your child’s health history is performed. During this visit, we will review your child’s medical history including his current health concerns, his past medical history, and previous laboratory tests, medications, vitamins and supplements he is currently taking, as well as his family history. Depending on your child’s medical condition a limited medical exam may be performed. Based on the initial evaluation, if additional lab work or other medical tests are needed, we will instruct you on how to obtain the added tests. In many cases, we may need to wait for the results of the requested lab tests before we can recommend specific treatments. Please remember that CICKids provides customized health care specific to each individual’s medical needs, therefore your child’s medical treatment regimen may look very different than another person seen by us.

Follow-Up Consultations

The first follow-up appointment will be for one hour and is usually scheduled two to four weeks after the initial consultation. During the follow-up visit, the doctor will review your child’s lab results, if any, with you and will recommend a customized treatment program for your child.

Depending on your child’s treatment plan, more follow-up appointments may be scheduled, and more tests may be ordered as deemed necessary.

Medications, Vitamins and Supplements

We recommend only Pharmaceutical-Grade vitamins/supplements not food-grade or store brand products.

Deposit / Cancellation / Late Policy

Since there is a lot of time and care that goes into preparing for a new patient to be seen by our providers, and to ensure every patient gets the attention they deserve, CI clinic has adopted the following policy:

When making an appointment please include a $100 deposit to reserve your initial evaluation. This deposit will apply to your initial evaluation. For the initial consultation and follow-up visits a 48-hour notification is required. Canceling less than 48 hours before scheduled appointment or failure to show up at scheduled time may result in a $100 cancellation fee for the initial evaluation and a $50 cancellation fee for the follow up appointments. Failure to arrive in a timely manner could also result in cancellation of appointment and a $50 cancellation fee.

Insurance Policy:

Although most PPO insurance plans do cover our services under their out of network coverage policy, CI Clinic does not bill insurance companies. Our doctors are not preferred providers for any insurance company. You may submit your paid invoice to your insurance for reimbursement. We are not a Medicare or Medicaid provider. Medicare or Medicaid will not reimburse you for services rendered at CI Clinic and you should not seek reimbursement from Medicare or Medicaid. We do have staff available to answer any of your insurance questions.

Knowing your insurance company’s carrier policy is your responsibility.

Address

Carolina Integrative Clinic
254 Towne Village Drive
Cary, NC 27513 - 8910
Phone: (919) 869-6661
Fax: (919) 467-7976

CICkids.com

Comprehensive Integrative Healthcare for All Ages