Welcome New Clients!

Step 1 - Registration

Kindly print, sign and return this form to us (that you understand our policies and agree to our terms) before your first appointment along with the appropriate fee.
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Download the UPEG Policy Form
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Registration Fee
Kindly submit our registration fee here (includes first 1.5 hour session).
$
225.00    

Step 2 - Survey: Symptoms Checklist

This step is optional but highly encouraged to help us better understand how you see your condition(s).  Click on this link to begin.

Step 3 - The UPEG InTake Form (Life History Review)

Alternatively, fill out your form online:  
click here to begin!

Fill Out and Submit 
online here!

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Download your Life History Form here:

UPEG Iintake Form.doc
File Size: 36 kb
File Type: doc
Download File

    Upload your Life History Form here:

Step 4: Book your first appointment! [email protected]