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 the New Patient Intake (Adult), and either bring with you or fax to 602-288-0124

New Patient Intake (Adult)


Consent to Treatment – General

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


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