First Appointment Information

  1. Please remember to bring the following:
      • Insurance Card(s)
      • Valid photo ID
      • List of all current medications and supplements
      • If you have imaging studies (X-rays, MRI’s, etc.) please contact the facility you used to get a copy of the images on a computer disc (CD). It is very important that Dr. Wallach personally reviews your studies, and we may not have online access to the facility you used.
      • Co-payment, if required, must be paid at the time of service. We accept credit cards, checks, or cash.
  1. Please wear or bring comfortable clothing such as shorts and t-shirts or exercise attire.
  2. If you are having a nerve test (EMG) you must have a short sleeve or tank top shirt for an upper body study or shorts for a lower body study.
  3. It is our office policy to charge a $25.00 fee for each missed appointment.  If you are unable to keep your appointment, please let us know well in advance to avoid the no-show fee.
  4. Please arrive at your scheduled time. If you arrive late, we may have to reschedule your appointment.
  5. Important:  Fill Out & Submit the Intake Form below prior to your appointment.

Intake Form