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Intake Forms

Patient Paperwork

To expedite your appointment, please print out and complete patient paperwork.

This is the form most new patients will want to fill out.

If you are a new patient with Hormone issues, fill out this form.  It is the same as the General Patient Intake Form with the Hormone Questionnaire added to it.

If you are an existing patient that has started experiencing hormone related issues [Menopause, low Testosterone, etc…] this is the form you will want to fill out before your next visit.

If this is your first time seeing us for Medical Marijuana Evaluation, fill out this form.

This is a short version of the Medical Marijuana Intake Form you filled out on your first visit.  Just making sure your contact information is still current for your new card.

Interested in Hyperbaric Oxygen Treatments?  This is the form used to help the doctor evaluate whether you’re a good candidate for HBO2 treatments.

If you need to send records to our office from another health specialist, fill this form out and we’ll work with them to pull your records over.

If you are scheduling a telemedicine appointment, you’ll need this form to be filled out and sent over before the appointment.

Location

We are located 1 mile East of I-17 and Carefree Hwy, in the Sonoran Desert Village Plaza [SW Corner of 27th Drive & Carefree Highway]. We’re in building #2, south of Walgreens, next to Sonoran Foothills Pet Clinic and across the parking lot from Diamond Dance Works Studio.

Send Us a Message

    623-252-0376Schedule Appointment Online