Dr. Zen

Becoming a Patient

SUBMIT ALL FORMS TO nmdwellnessofscottsdale@gmail.com

 

In order to provide our patients with the most individualized care, we require all of our new patients to complete ALL of the forms below and submitting them to nmdwellnessofscottsdale@gmail.com prior to scheduling their first appointment. Please also include a photo of the back and front of your insurance card.  This will allow Dr. Zen to review your paperwork and determine if she would like you to complete blood work prior to your first appointment (often occurs with hormone patients)

Patient Intake Form

Fee Agreement

Informed Consent

 

If you would like us to have access to your previous medical records including recent blood work and imaging please fill out the form below and also submit it to nmdwellnessofscottsdale@gmail.com

Medical Record Release

 
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