Dr. Schuler's New Patient Forms

By clicking on the below links you can read my Office Policies and Procedures (includes appointment fees), as well as the New Patient Forms and HIPAA NPP form. New patients are scheduled for a 2-hour time block initially with 2 follow-up appointments, one hour each. Out-of-area patients should plan on spending 2 consecutive days in town so I may follow-up with you the day after (or 2 days after) your initial appointment. Please call the office for information about local accommodations.

Please download the following New Patient Forms to fill out once we have called you and arranged an appointment time.

Please submit at least 2 weeks prior to your appointment:

1A: Office Policies

Sign and return via email at shcnorthcarolina@gmail.com

2A : Adult and Children Over Age 4 New Patient History Forms:

Please print, fill out completely, and bring in with you during your child’s appointment along with lab work, supplements, medications, and any orthotics & common footwear.

2B: Children under age 4 and Those With Development Delays New Patient History Forms:

Please print, fill out completely, and bring in with you during your child’s appointment along with lab work, supplements, medications, and any orthotics & common footwear.

3.0: HIPAA Notice of Privacy Practice

Please print, read, and sign the last page of the form and bring in with you to your first appointment (required).

4.0: Email Correspondence Form

Please sign this form and bring in with you to your first appointment (suggested but not required).