I manage my practice with a service called Luminello. Upon receiving an invitation from me, please create a Luminello account. This will enable you to communicate confidentiality and to complete forms prior to our first appointment.
Prior to your first appointment, please complete these forms:
Informed Consent - please electronically sign this form through Luminello. You can access it by clicking on 'documents' and then clicking on Informed Consent'. After reading it, please check the box that indicates you are electronically signing the form.
Demographics Information - click on the 'demographics info' tab in Luminello. Please complete the form and click save. You do not need to provide insurance information unless you are using Tricare.
Release of Information (If applicable) - click on the 'documents' tab in Luminello. Please complete the form and send it confidentially as an attachment through email in Luminello.
Credit Card Authorization (if you would like to pay with credit card) - click on the 'documents' tab in Luminello. Please complete the form and send it confidentially as an attachment through email in Luminello.