New Patient Paperwork


Please print, fill out the New Patient paperwork, and bring to your appointment along with any recent medical records and/or labs. If you are currently taking any medications or supplements, please bring those with you as well (you can just throw them in a bag in the original container).

*Please print the correct PDF file below and bring it to your appointment!

We look forward to meeting you and helping you reach your health goals!

1) New Patient Intake

2) Chiropractic Intake

3) Acupuncture Intake

4) Colonic Intake

5) Massage Intake

6) FIR Sauna Intake

7) MMJ Intake

Genesis Natural Medicine Center
3920 N. Campbell Ave.
Tucson, AZ 85719
Phone: 520-200-5029
Fax: 520-495-5400
Office Hours

Get in touch