Desert Mountain Health Center, Tucson, Arizona, Network Chiropractic, Nutrition, NAET Allergy Elimination
About Dr. Bergner and Desert Mountain Health Center
NAET Allergy Elimination
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Tucson Desert Mountain Health Center specializes in Network Chiropractic, NAET Allergy Elimination and Nutritional Counseling Services


Health Results from Healthful Living

Forms

When you schedule your first appointment, find out what forms will be needed for your first visit. In general, if you are scheduling an appointment for NAET, you will need Terms of Acceptance and Patient Agreement, HIPAA form, and History Form A (a total of six pages). If you are scheduling an appointment for chiropractic adjustments, you will need Terms of Acceptance and Patient Agreement, HIPAA form, and History Form B (a total of 8 pages). Please download the forms, fill them out, and bring them with you at the time of your first visit. If you cannot, please arrive at the office at least 20 minutes before the time of your appointment so you can fill them out here. Thank you!

The following Desert Mountain Health Center forms are available in Adobe Acrobat PDF format. If you don't have Adobe Acrobat Reader, click here to download it for free.

HIPAA Form

Terms of Acceptance & Patient Information

History Form A

History Form B

Diet Diary


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Desert Mountain Health Center
5929 East Pima Street
Tucson, Arizona 85712

(520) 296-5899

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e-mail:
drmartha@desertmountainhealth.com

© 2001-2014 Desert Mountain Health Center. All rights reserved.


Desert Mountain Health Center, Tucson, Arizona, Network Chiropractic, Nutrition, NAET Allergy Elimination