zsuzsanna fajcsak - Functional Medicine University

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Advanced Diagnosis and Treatment When All Else Has Failed
Ronald J. Grisanti D.C., D.A.B.C.O., MS
Board Certified Chiropractic Orthopedist
Master’s in Human Nutrition
Nutritional & Functional Diagnostic Medicine
4200 East North Street Suite 14
Greenville, South Carolina 29615
864-292-0226
FAX: 864-268-7022
E-mail: drgrisanti@charter.net
What to Expect
It is important to carefully read all the information that was sent to you. All forms must be completed and
mailed or faxed to our office at least 14 days prior to your appointment. This will allow us to help solve your
problems more efficiently and enhance the quality of your care.
Our primary goal is to help you get well.
We also understand that outlining what you can expect will decrease some of the initial apprehension and get
you on the road to improved health a lot quicker.
First and foremost, watch the short 5 minute video then complete our online medical questionnaire.
Remember that the most important part of any medical work-up is a great history and we have carefully
developed a medical questionnaire that will allow us to obtain the most comprehensive and detailed history
possible.
Like a good CSI agent, uncovering the underlying factors that have caused or are causing your present
health problem is essential for getting well. That will all start with our medical questionnaire.
IMPORTANT NOTE: Upon completion of your medical questionnaire you will receive an e-mail with a link
for a special report titled:
Functional Diagnostic Medicine- The Next Paradigm Shift in Healthcare
This report must be read prior to your first appointment so you may gain a better understanding of the science
of functional medicine and how it can help you get well.
Medical Records
Medical records can only be released with your authorization. A medical records release form is enclosed for
your use. You are responsible for obtaining previous medical records from other physicians or health care
providers. Please contact your physician or other health care provider to obtain these records. Your records
should be mailed to:
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Ronald Grisanti D.C., M.S.
4200 East North Street|Suite 18
Greenville, South Carolina 29615
First Consultation
Once we have your completed medical questionnaire and have all your medical records, you will be scheduled
for a 90 minute consultation with Dr. Grisanti.
The cost for your first visit is $350.00
Remember, the cost of your first visit not only includes your 90 minutes with Dr. Grisanti, but more
importantly covers the time it will take for the doctor to thoroughly study your medical records.
On your first visit with Dr. Grisanti, he will have completed his review of your medical questionnaire and
reviewed medical records from your physicians. This will provide enough information for him to determine
what to do next to help you get well.
You will receive a detailed report from the doctor summarizing his findings and letting you know the possible
underlying causes/reasons for your health challenge.
Dr. Grisanti main objective is to carefully identify what has possibility been missed by other physicians and to
give you some logical direction to help turn your health around.
The next step may require further testing consisting of physical examination, lab testing, in-house nutritional
testing, electro-meridian testing and possibly other medical diagnostic testing.
Once he has the results of the above testing, he will be able to outline the most effective treatment plan.
Confirmation and Cancellation of Appointments
Due to the overwhelming requests for new patient consultations, there is a 7-day cancellation policy, and your
appointment must be confirmed at least 7 days prior to your scheduled consultation. You may cancel your
appointment by calling our office. If calling after hours, please leave a message.
Insurance Information
We do not accept insurance or Medicare and we cannot assure you that services (office visits, phone
consultations or lab tests) will be reimbursed. You will be provided with diagnosis and procedure codes to assist
you with possible insurance reimbursement.
Payment Options
Our office accepts:



Check/Cash
Debit and All Major Credit Cards
No Interest Financing Available via CareCredit Health Card
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CareCredit is a credit card exclusive for
healthcare services.
With CareCredit, you can get a No Interest*
payment plan if paid in full within 6, 12, 18 or
24 months on purchases with your CareCredit
card.
** The majority of our patients use our in-house health credit service (CareCredit) because it does not tie up
personal and/or business credit cards.
You can apply online at http://www.carecredit.com
When you schedule an initial visit, we request a credit card on file to hold the appointment for you.
No charges will be applied to your credit card unless you miss or cancel an appointment without proper notice.
On the day of your scheduled appointment, all charges for consultations (medical and nutritional) as well as
laboratory testing will be itemized and reviewed with you. Payment is due on the day of service.
Please sign and date below acknowledging that you have read and understand what is expected.
Please fax or mail your signed copy to the above listed address.
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