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Office Forms
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
OTHER FORMS
- Registration
- Authorizations, Acknowledgments, & Financial Policy
- New Patient Intake
- Notices of Information Practices and Privacy Statement ** This handout does not need to be printed. It is only for your information.
OTHER FORMS
- 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. |
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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
$125 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
$180 - for standard test kit (saliva)
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.
It is preferred that you do saliva testing for hormones. Test kits can be purchased through our clinic. Just give us a call before you come in so we can have a test kit available for you. If you have recent hormone labs from your primary care physician, you may fax us a copy of them for review.
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
$125 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
$180 - for standard test kit (saliva)
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.
It is preferred that you do saliva testing for hormones. Test kits can be purchased through our clinic. Just give us a call before you come in so we can have a test kit available for you. If you have recent hormone labs from your primary care physician, you may fax us a copy of them for review.
CLINIC HOURS Contact us: 480-463-4006
NOTE: If you need an appointment that does not fit these hours, please let us know.
For your convenience, we have an on-line scheduling system. Click on the following button to set up your appointment.
We accept Cash, Debit cards, Visa, and MasterCard. We do not participate in any insurance plans.
| Monday | 7 am - 5 pm | *Patients are seen by appointment only |
| Tuesday | 7 am - 5 pm |
NEW SUMMER HOURS |
| Wednesday |
11 am - 7 pm | |
| Thursday | closed |
|
| Friday | closed |
|
| Saturday | 8 am - 2 pm | We are open 1 Saturday per month, including Sept 25th, Oct 16th, and Nov 6th |
NOTE: If you need an appointment that does not fit these hours, please let us know.
For your convenience, we have an on-line scheduling system. Click on the following button to set up your appointment.
We accept Cash, Debit cards, Visa, and MasterCard. We do not participate in any insurance plans.
Feel free to email us with any questions - Email Map and Directions to office - Click Here