Patient Forms

All new patients may fill out new patient paperwork prior to your first visit to speed up your check-in process. Bring in paperwork with you at your first visit with your most recent insurance information.

Naturopathic New Patient Paperwork

Injection Therapy


Diet Diary

Records Release

Aesthetic New Patient Paperwork

Contact us for more information

2152 S Vineyard #138

Mesa, AZ 85210

Phone: (480) 539-6646

Fax: (480) 539-6696



Mon- Wed: 8am-6pm

Thurs-Fri: 8a-5p

Sat: 9am-3pm