New Patients

welcome

 

Schedule Appointment

Our office is open Monday, Tuesday, Thursday, and Saturday by appointment only. For FAQ about what we do, insurance, cost, etc. please click here.

Please take some time to thoughtfully and thoroughly fill out the paperwork before your visit. If you don’t have access to a printer or prefer to fill out the paperwork at our office, that’s ok too, but please arrive at least 20 minutes early to give yourself enough time. It may seem boring, but the more thorough you are with the paperwork the faster we can help you achieve your goals.

PAPERWORK FOR ANY PAIN COMPLAINT:

*For TMJ specifically, these two are also needed:

PAPERWORK FOR THYROID, ADRENAL, METALS, CHEMICAL SENSITIVITIES, AUTOIMMUNE PROBLEMS, etc.:

Informed Consent

Intake

metabolic assessment form

MEDICARE Patients
If you are on Medicare, please fill out the New Patient Paperwork above, the appropriate Pain Index related to your condition, and also the paperwork listed below. (Please Note, Dr. Scoppa cannot bill Medicare for any services rendered and payment is due at the time of service. We offer a discount to patients 60+, but unfortunately Medicare will not pay for our services and we cannot bill Medicare).

Medicare Policy

ABN 

 

Click here for Frequently Asked Questions