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2055 S. Oneida St @ Evans #300 • Denver • 303.300.3933
About NeurOntogenics
Privacy Policies
This Practice is committed to maintaining the privacy of your protected health information
("PHI"), which includes information about your health condition and the care and
treatment you receive from the Practice. The creation of a record detailing the care
and services you receive helps this office to provide you with quality health care.
This Notice details how your PHI may be used and disclosed to third parties. This
Notice also details your rights regarding your PHI
Download privacy notice
View full notice Below
Relationship Recalibration participants, please fill out online questionnaire.
Schedule an Intro - appointment for Recalibration -(each partner needs to schedule
seperately)
All new participants (patients) must fill out this form - choose either Word or
PDF format *
*Word files can be filled out on your computer, PDF has consistent formatting
for everyone.
All Insurance participants (except Anthem BC/BS) are additionally required to fill
out the top and bottom of this PDF form.
Your insurance will only cover what you report
- be thorough in reporting any and all areas that you might want to have treated.
If for some reason you have difficulty with online forms, please come in 15 minutes
early to your appointment to fill them out in the waiting areas.