Dr. Zen

NEW PATIENT

SUBMIT ALL FORMS TO nmdwellnessofscottsdale@gmail.com

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In order to provide our patients with the most individualized care, we require all new patient paperwork to be completed at least 24 hours prior to your appointment. This will allow you to maximize your time with Dr. Zen.

Please note we do not accept insurance for office visit, but you may use your insurance for labs and imaging that may be ordered.

(Cash Pay options for labs are available).

General New Patient Intake Form

Fee Agreement

Informed Consent

If you are a patient coming in for Fertility consultations please fill out the below forms.

FEMALE FERTILITY NEW PATIENT INTAKE FORM

MALE FERTILITY NEW 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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As a naturopathic doctor, I believe in educating, inspiring and empowering you to take control of your health today”

Dr. Zen