New Patients Start Here
Hello and welcome to Sleep Life Med, the office of Dr. Valerie Cacho. Thank you for your interest in an integrative sleep consultation with Dr. Cacho. Please follow these simple steps to become registered as a patient under our care. We look forward to serving your sleep and wellness needs.
In order for us to formally treat you as a patient we need your permission. This is obtained after you review and sign our Terms and Conditions form.
1. The simplest way to review and sign the form is by providing us with your email. We will then send the form via Adobe Sign software.
2. If you prefer to print the form, sign and return it to us we recommend using Spruce, a secure messaging app that protects all of your personal health information. Alternatively you can choose to return it via your personal email, however please note this method does not secure your information.
Your medical history
In order to best serve you we request your medical records be available prior to your appointment. Our Release of Records forms allows us to gather your medical records from other physician offices or hospitals where you have received care.
1. The simplest way to for us to obtain your records is by providing us with your email. We will then send you the Release of Records form via Adobe Sign software.
2. If you prefer to print the Release of Records form please sign and return it to us. As with the Terms and Conditions sending the form through our secure messaging app, Spruce, protects your personal health information. Alternatively you can choose to return it via your personal email, please note this method does not secure your information.
Your photo ID and health insurance
To confirm your identity and insurance eligibility we request a copy of your government issued ID and the front and back of your health insurance card(s) be sent to us. As above the Spruce app is the preferred method to upload this information as your data is kept safe and secure. Alternatively this can also be emailed to email@example.com
Once you have completed steps 1-3 and we have confirmed receipt and verified your information you will be contacted to schedule an appointment. If we do not call you in a timely manner please call us at (808) 500-7077 or message us through Spruce.
Once your appointment is scheduled, you will receive a reminder email and text asking you to fill out the following 3 forms via a link that connects to Elation, our secure electronic medical records system.
Adult or pediatric new patient questionnaire
Insurance information form