| Vermont Naturopathic Clinic |
| Sam Russo ND, LAc |
Vermont Naturopathic Clinic is located at:
321 Main St.
Winooski, VT Get Directions
05404
Phone: 802-859-0000 Fax: 802-859-0005
email: info@naturopathicvermont.com
Visit Information:
Initial office visits are 30-90 minutes with follow-up visits ranging from 15-60
minutes depending on condition and treatment.
For your first appointment, please...
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 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.
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 or wear clothing that is comfortable,
such as shorts and a tank top or sports bra 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
email: info@naturopathicvermont.com
Visit Information:
Initial office visits are 30-90 minutes with follow-up visits ranging from 15-60
minutes depending on condition and treatment.
For your first appointment, please...
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 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.
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 or wear clothing that is comfortable,
such as shorts and a tank top or sports bra 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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