Office: 480-648-0221 Fax: 480-648-0201

New Patient Paperwork

new_patient1We look forward to working with you and giving your health a holistic perspective.

Please print the new patient intake forms and complete them prior to your visit. They do ask a lot of detail and we appreciate you taking the time, it will allow us to understand you and your condition better.

A few things you can bring to your appointment that can help us move along more efficiently;
- Any medication (both prescription and over-the-counter) you are currently taking or have been prescribed in the last year.
- All supplements/herbs/etc that you have available or are currently taking, its always nice to use up what you have if we can.
- If you have any copies of labs, x-rays, etc from the last few years bring them along. If not, we can always request copies from your prior Physicians at your visit.
- If you feel as though your condition has a long history to it and you would like to create a bit of a “timeline” that can be a great resource to help make sure nothing gets left out.

Read more about what to expect at your visit.

linedpaperpencil32New patient intake form


Our Location

We're located in the Ray Road Medical Center at:

13838 S. 46th Pl. Ste. 110, Phoenix, AZ 85044

(Northwest corner of Ray Road and 46th Pl)