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New Patient Forms

Thank you for scheduling your appointment!

Below are forms that we ask new patients to complete and bring to their first appointment. Please click on the links below and a new browser will open allowing you to view and then print the form. You are welcome to fill forms out at your visit please arrive early.

Patient Confidential Information Form

Medications / Supplements / Allergies Questionnaire

Policies and Procedures

Dr. Shaw’s office is conveniently located near I-79, Route 19 and the PA Turnpike. Detailed directions may be printed below.

Printable Directions

Commonly Asked Questions Regarding Appointments

What should I bring to my appointment?

Please complete and bring the “New Patient Confidential Information Form”. If you are currently taking any medications, supplements or have any allergies, please fill out and complete the “Medications / Supplements / Allergies Questionnaire”. Also, if you have any recent blood or lab results or medical diagnosis reports, please bring a copy of them to your appointment.

How long are appointments?

Appointment times vary according to different health histories and conditions but an average initial consult is 30-40 minutes long. The treatment plan visit is 30 minutes but can vary according to your medical conditions. Follow up visits are 30 minutes. We require a 24 hour cancellation notice for scheduled appointments to allow those on our waiting list the opportunity to get in for care sooner. You will be charged for scheduled “no-show” visits. Thank You!

What are the fees for an office visit?

First Visit: $450 / Treatment Plan: $550 / Follow Up Visits: $85 We accept cash, personal check and major credit cards excluding American Express.

May I use my insurance coverage?

Please visit the “Insurance FAQ” web page that discusses insurance coverage for nutritional counseling.