• Skip to main content

W Clinic of Integrative Medicine

We utilize integrative and natural therapies to enable you to take an active stance in your health

  • Home
  • About
    • Naturopathic Medicine
      • Medical Conditions
    • Internal Medicine
    • Physicians
    • Prescription Refills
    • Lab Results
  • Services
    • Bioidentical Hormone Replacement Therapy
    • Testosterone Replacement for Men
    • Allergies & Asthma: Sublingual Immunotherapy (SLIT)
    • Acupuncture
    • Natural Pain Management
  • PRP Therapies
    • Prolotherapy
    • Natural Treatment for Hair Loss
  • Medical Weight Loss
    • HCG Diet
    • Phentermine
    • Topiramate + Phentermine
    • B12/MIC Shots
    • Injection Special
  • Patient Paperwork
  • Testimonials
  • Contact

Patient Paperwork

Please see attached new patient paperwork. It is a good idea to print and fill out these forms prior to your visit to expedite the check-in process. If you are unable to print and fill out the forms prior to your appointment, we recommend you arrive 30 minutes early to fill out the forms prior to your appointment.

The HIPAA Privacy Policy is for your reference/information and does not need to be returned to the clinic.

Female-Intake-Forms_WClinic_CCWay_2022_UpdatedDownload
Male-Intake-Forms_WClinic_CCWay_2022_UpdatedDownload
Pediatric-Intake-Forms_WCLINIC_CCWay_2022_UpdatedDownload
HIPAA-Privacy-Policy_Updated_2022Download

Copyright @ 2018 · W Clinic AZ · All Rights Reserved