CONTACT

Please review and submit a) and b) for your first appointment. 

a) Client Information
b) Client Signature
c) Office Policy & Fee Structure
d) Privacy Notice

Currently, we only accept Medicare plan (not Medicare Advantage). Please bring your medical insurance card to the first appointment if applicable. For those with out-of-network benefits, a superbill will be issued for you to submit for reimbursement. 

Phone: (970) 481-7397
Fax: (970) 237-3036
Email: polingchan@mail.com
Address: 113 Coronado Court,
Building 5, Unit A1, Fort Collins, CO 80525