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New Patient Appointment Request Form
New Patient Appointment Request Form
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    Thank you for your interest in Hearthside Medicine Family Care!

    We provide exceptional primary care medicine with a holistic and natural emphasis.

    We have been getting a lot of requests for ADHD stimulant medications recently.  We want to let our prospective patients know that we treat ADHD without using stimulant prescriptions in the vast majority of cases as we believe there are healthier and better ways to treat ADHD.

    Our staff will reach out after you complete the following forms to get you scheduled or you are always welcome to call in or self schedule from the portal once you get the email saying you are registered.

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    Currently closed to new Medicaid/OHP patients. We take Pacific Source commercial plans, Pacific Source Medicare, First Choice, United, Regence, Blue Cross Blue Shield, MODA (Not 360 plans), Tricare, HMA, Health Comp, & Providence.
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    Please check appropriate box(es):
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    OHP/Medicaid/Medicare are not eligible for Functional Medicine
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    Havilah Brodhead has trained in Functional Medicine and incorporates this into her primary care.  Some patients would especially benefit from this type of root cause medicine. 

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    Please provide some history about your concerns.
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    Thank you for submitting a brief overview of your concerns and history. If you have not received an email back from us or phone call within 48 hours during weekedays or within 72 hours on weekends, please call our clinic to schedule. 

    Marie Mency FNP, Rachel Query FNP, Havilah Brodhead, FNP and Jeremy Brodhead FNP are all accepting new patients and generally have openings within 1-2 weeks. 

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    Next Steps to Schedule your 1st appointment

    1. Wait until you see an email to register for your patient portal within 2 business days.
    2. After this we will call to schedule your first appointment.
      • You can also self schedule a new patient visit from the patient portal or app.
    3. If you do not hear from us please feel free to call us.

    We can usually get you scheduled within 1-2 weeks!

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