Call us
(602) 441-3455
4921 E Bell Road, Ste 203 Scottsdale, AZ 85254
PATIENT INFO

Download Patient Forms:

Below you will find links to some of our standard forms.  To make your first visit more convenient, feel free to download these forms and complete them ahead of time.  In your Acrobat PDF viewer, you can type directly on the form, or you can simply print each form and fill them out by hand.  At the end of each form, you have buttons that will help you save your work, print the form, clear the form, or email the form to us. The email feature only works if you have an email program on the computer you are using.  If you do not, you can simply save your work and then email the form to us as an attachment.

Lifestream Records Release Authorization     

Lifestream Patient Contact Info

Lifestream Patient Intake Form    

Lifestream Insurance Questions

Save paper, email your patient forms ahead of time to: info@lifestreamwellnessclinic.com
 

Call today to schedule an Information Visit to see if our approach is right for you!
Phone 602-441-3455 today!
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Lifestream Wellness Clinic
4921 E Bell Road, Suite 203
Scottsdale, AZ 85254
Tel: (602) 441-3455
Fax: (602) 682-7100