Policy/Forms
TKS Nutrition practice policies and forms that are needed for your nutrition appointment.
Policies/ Forms
Nutrition Referral Form
Some insurance companies require a physician's referral for medical nutrition therapy. You can give the form to your physician to send to us, or TKS Nutrition LLC will obtain it for you.
Cancellation/ Missed Visit Policy
TKS Nutrition LLC must strictly adhere to a cancellation/late change / missed visit/ late arrival policy.
Release of Medical Record
TKS Nutrition LLC would like to coordinate your care with your medical team. The Release of Medical Records will allow us to request your medical information from your health care team.
Privacy Policy
TKS Nutrition LLC respects your right to privacy, and this policy outlines our guidelines concerning the use of your personal information.
HIPAA
TKS Nutrition LLC takes your privacy seriously. We follow all required laws to ensure your information is confidential and secure.
Good Faith Estimate
The Good Faith Estimate (GFE) policy, required by the federal government, ensures patients receive an upfront cost estimate for medical services. It aims to increase transparency and help patients make informed financial decisions about their healthcare.