Patient Forms

Patient Forms

Please print and fill out the forms and either bring them with you or fax them ahead of your visit.

Las Vegas, NM Fax: 505-434-0042 • Santa Fe, NM Fax: 505-424-8444

CLICK HERE TO DOWNLOAD

CLICK HERE TO FILL OUT ONLINE

What we offer

Conditions & Treatments

Our Locations

Choose your preferred location

105 Mills Ave Ste. 100, Las Vegas, NM 87701

505-355-2747

3600 Rodeo Lane Building A, Santa Fe, NM 87507

505-355-2788

8008 Menaul Blvd. N.E., Albuquerque, NM 87110

505-219-4516

1213 Gusdorf Road, Taos, NM 87571

575-200-3293

511 Nizhoni Blvd, Gallup, NM 87301

505-309-5401