n a t u r o p a t h i c    d o c t o r
intake & insurance forms

Prior to your initial consultation, please complete the following steps:

     1) Open this link:    

         New Patient Information & Forms

        

     2) Print this PDF document

     3) Review and fill out the forms

     4) Bring them to your first consultation

 

To find out if your insurance plan will cover Dr. Malik's services:

     1) Open this link:    

         Patient Insurance Information Form

        

     2) Print this PDF document

     3) Fill out the form

     4) Fax or email it to our office

     5) We will call or email you with coverage information

 

 

 

NEW!
for Dr. Malik’s existing patients!

SUPPLEMENT RE-ORDER FORM
click here
 

 

n a t u r o p a t h i c    d o c t o r

RICHARD MALIK ND

322 Main Street    P.O. Box 18    Lakeville, CT 06039    office: (860) 435-3009

doctor@maliknd.com

 

SITEWORKS BY:
BRAUTIGAMDESIGN