Vermont Naturopathic Clinic is located at:
321 Main St.
Winooski, VT Get Directions
05404
Phone: 802-859-0000 Fax: 802-859-0005
Visit Information:
Initial office visits are 60 minutes with follow-up visits generally ranging from
15-45 minutes depending on condition and treatment.
For your first appointment, it is important that you do the following:
1. Bring completed new patient forms, which can be downloaded by
clicking the appropriate of the links below. You only need one adult or child
form, so choose the format that suites your needs. Everyone needs to view
the privacy notice.
These files are in Adobe PDF Format.
Click here to get Acrobat Reader
Adult New Patient Information
Privacy Notice
2. A complete list of medications including dosages. Also, bring the
bottles or labels of any supplements, herbs, nutrients, etc. so that the
actual ingredients can be viewed.
3. Copies of any lab work, x-ray reports, MRI reports, CT scan reports,
EMG reports, etc. pertinent to your complaint(s) or generally
completed in the last year. Bring a copy of the actual images if
possible. Most facilities will provide a copy of imaging on a CD/ DVD.
Medical Records Release: Use this form to request records from other your
other doctors to be sent to Dr. Russo.
4. Insurance card. If you are covered by Worker’s Compensation or
Personal Injury (auto insurance), bring your claim information
including claim number, adjuster contact and referral/approval letter.
Medicare and Medicaid do not cover our services, but many
insurance companies do. Check your policy for details.
5. Dress Appropriately. Please bring clothing that allows for physical
such as shorts and a sleeveless shirt that allows access to your arms
and legs for physical examination. If you are coming for acupuncture
and/ or manual therapy you will need to bring these each visit.
321 Main St.
Winooski, VT Get Directions
05404
Phone: 802-859-0000 Fax: 802-859-0005
Visit Information:
Initial office visits are 60 minutes with follow-up visits generally ranging from
15-45 minutes depending on condition and treatment.
For your first appointment, it is important that you do the following:
1. Bring completed new patient forms, which can be downloaded by
clicking the appropriate of the links below. You only need one adult or child
form, so choose the format that suites your needs. Everyone needs to view
the privacy notice.
These files are in Adobe PDF Format.
Click here to get Acrobat Reader
Adult New Patient Information
Privacy Notice
2. A complete list of medications including dosages. Also, bring the
bottles or labels of any supplements, herbs, nutrients, etc. so that the
actual ingredients can be viewed.
3. Copies of any lab work, x-ray reports, MRI reports, CT scan reports,
EMG reports, etc. pertinent to your complaint(s) or generally
completed in the last year. Bring a copy of the actual images if
possible. Most facilities will provide a copy of imaging on a CD/ DVD.
Medical Records Release: Use this form to request records from other your
other doctors to be sent to Dr. Russo.
4. Insurance card. If you are covered by Worker’s Compensation or
Personal Injury (auto insurance), bring your claim information
including claim number, adjuster contact and referral/approval letter.
Medicare and Medicaid do not cover our services, but many
insurance companies do. Check your policy for details.
5. Dress Appropriately. Please bring clothing that allows for physical
such as shorts and a sleeveless shirt that allows access to your arms
and legs for physical examination. If you are coming for acupuncture
and/ or manual therapy you will need to bring these each visit.
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| Vermont Naturopathic Clinic Sam Russo ND, LAc 321 Main St. Suite C Winooski, VT 05404 802-859-0000 info@naturopathicvermont.com |