How to Schedule and Prepare
Schedule
Call the office or email Van requesting an appointment. Please leave your name, the phone number where you can be contacted, when is the best time you can be reached and the health issue you want treated. Phone and email messages will be responded to within 24hhours.
Office 310-310-8096 tel/fax info@vanharding.com
Preparation
1. Download and Fill-In the New Patient General Information & Health History form. This is an electronic form that allows you to type in your information. When complete save a copy to your computer and email the completed copy to Van’s email info@vanharding.com. Print one copy and bring it with you to your appointment. New Patient General Info & Health History Forms
2. Please write one o three paragraph(s) that describes your top three complaints, your goals and expectations of Van’s services and treatment outcome(s). Your write up should also include all current Over The Counter medications, alcohol, recreational drugs, herbs, nutritional supplements and home remedies you are using.
3. See the following lists for additional preparations which are recommended but are not required.
Stroke, TBI or Post-Concussion Syndrome – bring a copy of your medical records complete with imaging studies, rehabilitation records and detailed list of all current medications and dosages. Please write one paragraph that describes your top three complaints and your goals and expectations of Van’s services and treatment outcome(s).
Stroke or Heart Attack Prevention – bring copies of your medical records and diet and life style change recommendations by your neurologist, cardiologist or primary care provider, any exercise program evaluations and a detailed list of all current medications ad their dosages.
Dementia, Alzheimer’s, Parkinson’s and other brain-based neurological degenerative diseases/disorders – bring copies of your medical records, a detailed list of all current medications, copies of psychological/psychiatric records, motor/sensory assessments and a history of medications describing their efficacy and/or negative side effects.
Pain – bring copies of your medical records, a detailed list of all current medications, detailed list of current medications and a history of medications and their efficacy and/or negative side effects, a list or description non-medications that improve and exacerbate the pain.
Emotional, Psychological and Mental Disorders/Diseases– bring copies of your medical records, a detailed list of all current medications, copies of psychological/psychiatric records, a history of medications describing their efficacy and/or negative side effects. Write a short paper that describes how do you currently feel, what triggers you have, what therapies you have tried that were not helpful and describe what happens physically and behavior changes when your condition is at it’s worst. Please limit your paper to 3 pages. If you cannot write, bring a digital audio recording of the assignment and limit it to 5 minutes.
Women’s Health – bring copies of your medical records, indicate current contraceptive(s), and a list that provides dates of your menses onset and completion, notes about clotting, pain, or date of last menses and onset of menopause, list of current medications.
Men’s Health – bring copies of your medical records.
Insomnia, Stress and Fatigue – bring copies of your medical records, a detailed list of current prescription medications, over the counter medications, recreational drugs, alcohol consumption, herbs, home remedies and nutritional supplements you are currently using.
by Blake Farmer Feb. 16, 2012