New Patient Appointment Request
To become a new patient of The Raphael Institute, please complete the form below. We will contact you to schedule your appointment.
By completing the following form, you understand and accept the following:
The Raphael Institute, Inc. is a 501(c) 3 non-profit corporation.
The Raphael Institute does not accept health insurance. Patients can find an outline of service fees in the new patient paperwork. All payments are due at the time healthcare practitioners and staff provide services.
Healthcare providers treat new and established patients every day. The staff will prioritize scheduling a new appointment for referrals from existing Raphael Institute patients. New patient appointments last, on average, two to three hours.