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Cameron Wellness Center and Spa
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Appointment Resources

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Appointment Resources

To schedule your Naturopathic Medical Appointment, call the Cameron Wellness Center at 801-486-4226.

Please print and fill out the intake forms below prior to your first appointment, or arrive 20 minutes early so you’ll have time to fill out the forms in the office.

Policies and intake forms are listed below:

Payment

Payment is due in full at the time of service. We do not bill your insurance company. Upon request, we will  give you a service summary with codes which you may submit to your insurance company. Many patients receive reimbursement when they submit this receipt. We accept checks and major credit cards;  a $10.00 service fee will be charged for all returned ​checks.

Payment Plan

If you are experiencing financial hardship please let us know when you schedule your appointment. We will work with you to create a payment plan. All patients are required to pay at least 50% of the charges on the day of service.

Cancelation Policy

Cancelation Policy Summary

If sufficient notice of cancellation is given – 24 hours or more – no charges will apply. Less than 24-hour notice or no-shows will be charged at 50% of the scheduled visit. This applies to first time visits as well.

When you schedule an appointment at Cameron Wellness we set aside enough time to provide you with the highest quality care. Should you need to cancel, or reschedule, an appointment please contact our office as soon as possible and no later than 24 hours prior to your scheduled appointment. This gives us time to schedule other patients who may be waiting for an appointment. Appointment Cancellation/No Show Policy details are listed below:

Cancellation of an appointment:

​In order to be respectful of the medical needs of other patients, please be courteous and call Cameron Wellness Center promptly if you are unable to show up for an appointment. This time will be reallocated to someone who is in need of treatment. If it is necessary to cancel your scheduled appointment, we require that you call at least 24 hours in advance. Appointments are in high demand, and your early cancellation will give another person the possibility to have access to timely medical care.

How to cancel your appointment:

​To cancel appointments, please call 801-486-4226. If you do not reach the receptionist, you may leave a detailed message on our voicemail. If you would like to reschedule your appointment, please leave your phone number. We will return your call and give you the next available appointment time.

Late Cancellations:

​ A late cancellation is considered when a patient fails to cancel their scheduled appointment within 24-hours prior to appointment. Patients who fail to notify the office within 24 hours of their scheduled appointment time will be subject to a “Cancellation” fee of $25.00. In the event of an actual emergency where prior notice could not be given, consideration will be given, and a one-time exception may be granted.

No-Show Policy:

​ A “no-show” is someone who misses an appointment without cancelling or rescheduling in an adequate manner. A failure to be present at the time of a scheduled appointment will be recorded in your medical record as a “no-show.” Patients who fail to show for their scheduled appointment shall be subject to a “No Show” fee of $25.00. In the event of an actual emergency where prior notice could not be given, consideration will be given, and a one-time exception may be granted.

Intake Forms and Handouts

Wellness Center Intake Forms

 New Patient – Intake Forms

  • All Patients
    • Patient Agreement Form
    • Privacy Act Form
    • New Patient Contact Information Form
  • IV Patients
    • IV or B12 New Patient Intake Form
  • Adults
    • Adult New Patient Intake Form
  • Kids
    • Pediatric New Patient Intake Form

Existing Patient – Intake Forms

  • B12 Injections Visit
    • B12 Injection Return Patient Form
  • All other Return Visits
    • Adult and Pedriatic Patient Return Visit Form

Patient Handouts

URI (Upper Respiratory Infection) Protocol

Low-Dose Naltrexone (LDN)

Prolo Post Treatment Instructions

Nebulizer Tea Instructions

Ozone

Spa Intake Forms

ESTHETICS

Health History

Acne Consent

LED Consent

Microneedle Consent

Microderm Consent

MASSAGE THERAPY

Health History

Massage Consent

ACUPUNCTURE

Health History

Acupuncture Consent

In order to provide you with the most comprehensive care available, please take time to fill out this ​5 minute questionnaire before your next appointment.

Start Now

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Let’s Get Started!

Call Today (801) 486-4226

Address
1945 S 1100 E
Ste. 100
Salt Lake City, UT 84106

The Cameron Wellness Center is conveniently located in the Sugar House area of Salt Lake City and is adjacent to the Sugar House Post Office. Patient parking is available in the rear of the building and is accessible via Ramona Avenue

Google Map

Business Hours
Monday-Saturday: 9:00 AM to 5:00 PM
​Sunday: Closed

Contact us by email

Location and Contact

1945 S 1100 E Ste 100
Salt Lake City, UT 84106
P: (801) 486-4226
F: (801) 487-6856
M-F: 10a-5p
Sa: 10a-4p
Su: Closed

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