Francis Holistic Medical Center

N. Thomas LaCava, MD, Medical Director                                             Treating the Cause of Complex Chronic Illness

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If you are interested in setting up an initial comprehensive visit with Dr. LaCava, please contact our office at (508) 854-1380.

We provide extra appointment time for first visits, so it is very important to let us know if you are not going to come to your appointment. Should you need to reschedule or cancel your appointment for any reason, please do so at least three business days prior to your appointment.

These appointments are scheduled for an hour in duration, but please plan to be here for approximately up to two hours.  The initial visit requires questionnaires, checklists, and summaries that need to be completed by the patient (or parental guardian, if the patient is a minor).  These forms can be sent to you by mail, or you can download them here on our website below. If you are not sure which forms to use, or have questions about the forms, please call us at 508-854-1380 on Monday, Wednesday or Thursday.

Please do not put your social security number on any of our forms. If one of our forms still asks for that, leave the field blank. Your privacy is very important to us. We do not collect social security numbers, in order to further protect your privacy.

Please print each item indicated, and complete and return them to our office as soon as possible. Do not use email to return these forms. Email is not secure, and the quality is very poor.  

Please do not bend or dog ear the pages, as these forms will be passed through a scanner.

The forms that are appropriate for you need to be completed in full and returned to our office for receipt BEFORE your appointment.  We highly recommend that you have these documents returned to the office AT LEAST ONE WEEK prior to your visit.  Please note, if you send your information in advance, you will have a much better experience, since our physician will become familiar with your case in advance.  For more information, or if you have questions, please contact our office and we will be happy to assist you.
 
FORMS

To download the forms required for your initial visit, you will be clicking on selected links below. These forms are stored as Adobe pdf files. You will need the free Adobe Reader program in order to view them. Most computers have this already installed.  If you do not have this program, you may obtain it by clicking on this link to the Adobe website:  https://get.adobe.com/reader/


For all patients, these four forms are required:

Patient Registration
 
Authorization
 
Letter Regarding Laboratory Testing
 
Alternative Laboratory Testing Kits Waiver


Choosing the Rest of the Forms to Complete

You do not need to complete every form listed. Only complete the forms that apply to you.

Click here if you are an adult (16 years of age or older)

Click here if the patient is 15 years of age or younger



We provide integrative, functional medicine in Central Massachusetts in the Worcester area. Many of our patients come from Boston and the Metrowest Boston area as well as all areas of Massachusetts and the other New England states.

(C) Copyright 2013 and 2016 Francis Holistic Medical Center, Last Modified: March 23, 2017 at 6:20 pm EST