Pease Integrative Medicine Office is committed to meeting our patient’s healthcare needs and keeping their insurance and other financial arrangements simple, secure, and efficient. In order to accomplish this in a cost effective manner.

1. Pease Integrative Medicine Office utilizes an Electronic Medical Record (EMR) system to store all patient health and financial information related to services provided at the practice.

2. Pease Integrative Medicine Office will use the Electronic Medical Record (EMR) system to create individual Patient Chart.

3. Required Demographic Information for a Patient Chart:

   1. A patient must provide the practice with their current address of residence, telephone number, email address, sex, date of birth, emergency contact, medical release of information, and any applicable insurance coverage numbers.

   2. Patients must agree to inform the practice of any changes to this information as changes occur.

   3. The practice may elect to deny services for incorrect or inaccurate information.

4. Other Demographic Information:

   1. Patients may be asked to provide other social, family, and economic information such as race, ethnicity, marital status, etc., but this other demographic information will not be considered a requirement for Patient Chart.