To allow Dr. Jensen time to review your case prior to your first visit, please fax, mail, or drop off appropriate “First Visit Forms” at least 3 days prior to your scheduled appointment.

First Visit FormsPlease complete ALL “First Visit Forms” and either bring with you or fax to 602-288-0124

New Patient Intake (Adult)

Office Procedures/HIPAA

Consent to Treatment – General

Consent to Testosterone Therapy (Men only, if visit is for hormone therapy)

Arbitration Form

 

Hormone Therapy Forms

Coming Soon

Other Forms

Consent to Discuss Treatment with 3rd Party

Medical Records Release – Needed to get records from another physician

Homeopathic Questionnaire

 

 

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