Patient Information & Forms
Practice Policies & Procedures
Payment is expected at the time of service. We accept most forms of payment including major credit cards. Package plans are available. Special discounts for Holy Cross Hospital employees are available.
Appointment Scheduling
Please call our toll free number for answers to your questions or to schedule your appointment: 888-840-HEAL (4325). Please call this number for all scheduling issues.
For all other services offered at the Feldman Center please feel free to call 954-229-7908.
Lecture Series Reservations
Please call 954-351-7804 to make reservations for the Mind, Body & Medicine Lecture Series.
Appointment Cancellations
Cancellations are requested 24 hours prior whenever possible. Please call 888-840-HEAL (4325)
Patient Forms: Please Print & Fill Out All Forms Below Prior To Your First Visit.
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Intake Form - Consent to Treatment Form
- Holy Cross HIPPA Notice Pg. 1
- Holy Cross HIPPA Notice Pg. 2
- Holy Cross HIPPA Acknowledgement
- Pain Drawing
- Detox & Drainage Questionnaire
- Nutritional Assessment Questionnaire (NAQ)
- Symptom Survey Form
Preparing For Your First Visit
Please print out the patient forms above and take your time filling them out. Be as descriptive and detailed as possible.
Treatment Expectations
If you have several health conditions, please list them in the order of importance. Please be realistic concerning treatment. It make take several treatment sessions to feel a change. Please create a treatment result diary to note daily changes in how you feel.
What Services Do We Offer?
For a complete list of services provided please click here
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