CALL TODAY

480-463-4006
Office Forms/ Info

Write down your goals

We know your time is valuable, so we have included our clinic paperwork on this page for your convenience. The forms are double-sided so you may set your computer to duplex printing if you have that option.

In an effort to provide the best possible care for our patients, it is required that we receive all new patient paperwork and laboratory results at least 2 business days prior to your initial visit. If you are scheduled for lab work only on your first visit, you may bring in the new patient forms at that time.

If you have any questions, send us an email and we'll be happy to help you.  Email Us


NEW PATIENT FORMS
  1. Registration
  2. Authorizations, Acknowledgments, & Financial Policy
  3. New Patient Intake
  4. Notices of Information Practices and Privacy Statement  ** This handout does not need to be printed. It is only for your information.

OTHER FORMS
  1. Medical Records Request Authorization - Please be sure to circle which records you are requesting on this form. Most patients only need to circle "Laboratory reports (for previous 2 years)."
        You will need Adobe Reader to download our files.
Click on the logo to get the latest version.

LABORATORY WORK

New patients need to have lab work prior to their first visit. For your convenience, we can draw your labs in the clinic. We keep our cost amazingly low by requiring out-of-pocket pay and not going through insurance companies. See our costs listed below.

If you have lab work that has been done within the past 3 months, you may fax or send it to our office for review prior to your first visit. We will let you know if additional lab work is needed. If you choose to do lab work through your primary care physician, these are the minimum labs we would like to see. Reminder: You need to be fasting for at least 12 hours prior to your blood being drawn, although be sure to drink adequate amounts of water.

Weight Loss Patients
$135 or $165 including Vitamin D

CBC - complete blood count
CMP - complete metabolic panel
Lipid panel - cholesterol, triglycerides, LDL, HDL
Thyroid panel - TSH, free T3, free T4
25(OH) Vitamin D - optional, but highly recommended


Hormone Balancing Patients
Prices to be updated soon

You will need all labs listed above, in addition to a variety of hormone levels. These vary based on whether you are male or female and if serum or saliva is being tested.




CLINIC HOURS                                 
 Monday  10 am - 7 pm   Lunch 2 pm - 3 pm
 Tuesday  8 am - 5 pm  Lunch 1 pm - 2 pm
 Wednesday  7 am - 3 pm  Lunch 12 pm - 1 pm
 Thursday  8 am - 5 pm  Lunch 1 pm - 2 pm
 Friday  8 am - 4 pm  Lunch 1 pm - 2 pm
 Saturdays  Beginning in January - days to be announced  

*The clinic is closed during LUNCH

 
Patients are seen by appointment only.



Office: 480-463-4006 (voice mail and texting available at this number)

Fax: 888-848-1207

*We currently have a very small number of staff members, so please leave us a message if you get our voice mail and we will call you back within the same business day. Since we receive texts right to and from our computers, if you would like to get in touch with us via a text, that would be wonderful.


Credit card logos                                            
  We accept Cash, Visa, MasterCard, American Express and Discover. 

  
We do not participate in any insurance plans; however, Health Savings Account cards may be used for certain services. 

OFFICE LOCATION
7581 S. Willow Dr., Suite #101
Tempe, Arizona 85283


Feel free to email us with any questions Email                         MAP and Directions to office - Click Here