It is important to carefully read and watch all the information that was sent to you. All medical information must be completed before receiving an appointment with the doctor.

My primary goal is to help you get well!

We also understand that outlining what can be expected will decrease some of the initial apprehension and get you on the road to improved health much faster.

Remember that the most important part of any medical work-up is a thorough and detailed health history. We have carefully developed an online 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(s) is essential for getting well. That will start with our online medical questionnaire.

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:

Dr. Mark Sielski

555 Main Street Suite 5A

Chatham, New Jersey 07928

First and Follow-up Consultations:

Once we receive your completed medical questionnaire and have all your medical records, you will be scheduled for a 60 minute consultation with Dr. Sielski.

The cost for the first consultation fee is $500.

A down payment of $100 is due at time of scheduling in order to hold your spot.

Balance of payment for your consultation is due on the day of service.

Remember, that the cost of your first visit not only includes your 60 minutes with Dr. Sielski, but more importantly covers the time it will take for the doctor to thoroughly study and evaluate your medical records from your physicians. This will commonly provide significant information for him to determine what to do next to help you get well.

You will receive a detailed report form the doctor summarizing his findings and letting you know the possible underlying causes/reasons for your health challenge.

Our main objective is to carefully identify what has possibly 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 a physical examination, lab testing: specialized blood work, stool testing, saliva testing and possibly other diagnostic testing. You as the patient are responsible for the costs of these specialized tests. Your insurance may partially cover some of these costs.

Fees for the above services will be discussed after your first consultation. Once Dr. Sielski has the results of the above testing, he will schedule a second appointment to be able to outline the most effective treatment plan. The fee for this second visit is $250 and will be 30 minutes. Subsequent follow-ups to monitor and assess progress will be scheduled at 6-8 week intervals with a fee of $175 and may be virtual. At the 6-8 month period of treatment, a more comprehensive visit will be scheduled to prescribe lab retesting to see progress and determine any changes to treatment plan if necessary. This visit fee will be $250 and 30-40 minutes.

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 or your appointment may be given away and you may be subject to $100 fee for missed appointment.. You may cancel your appointment by calling our office. If calling after hours, please leave a message. For subsequent visits there will be a 48 hour cancellation policy. Missed appointments for these visits will be assessed a $75 fee.

Any questions you may have please give us a call at the office (908-505-8449) my cell (551) 312-8203 or email to [email protected].

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. It is common for major medical insurance to partially cover some of the lab testing. You will be provided with the diagnosis and procedure codes to assist you with possible insurance reimbursement. That will be the patient’s (your) responsibility.