Do you have to have a photo I'd for your initial consultation?

Yes. Valid picture ID & insurance card if using insurance

Yes, they need to verify who you are

I have never had a medical facility or Physician's office not ask for a valid ID. I recently moved to Georgia a little over a year ago and even in Pennsylvania they ask for ID. They have to verify that you are who you are and that you're not committing any insurance fraud and what not as well.