Guest Dosing at HealthQwest:

Patients home clinic must schedule guest dosing via phone and fax.

Patients’ home clinic must fax signed copy of guest dosing request form including signature of Medical Doctor or verbal order from Medical Doctor allowing patient to guest dose at HealthQwest. HealthQwest nurse must be able to call patients home clinic to confirm dose level and schedule.

Home clinic must provide the following patient identifying information:

• Full name
• Social security number
• Driver’s license/ID card state and number
• Date of birth
• Dose level/Medical status
• Phase level and dosing schedule
• Other, as requested
• (Following Forms provided by HEALTHQWEST via fax to be completed by patient and counselor and faxed back to HEALTHQWEST at 478-225-9861.)

1. HEALTHQWEST Patient Data Summary Sheet for Guest-Dosing or copy of Patient Profile Report (from Methasoft Program) - CLICK HERE 
2. HEALTHQWEST Fee Schedule for Guest-Dosing (signed by patient and counselor) - CLICK HERE
3. HEALTHQWEST Photographic Consent for Guest-Dosing (Signed by Patient and Counselor)

Initial (one time) guest dosing admission fee is $25.00 plus daily dosing fee of $13.00. Each day thereafter is charged as a daily dosing fee.  Guest Dosers should arrive early to ensure that the appropriate paperwork is completed to Guest Dose at HEALTHQWEST.