New Patients

Patient Forms

If you're a new patient, please complete the following forms and bring them and your insurance card to your first appointment.

If you would like our team to coordinate care with another physician practice please complete the form below to authorize release of your medical record, or the authorization for another physician practice to disclose information to us:

Advanced Directives (optional):

New Patient Forms for Dietician only

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


Essential Family Health & Wellness
7425 E Shea Boulevard, Ste 100
Scottsdale, AZ 85260
Phone: 480-285-2180
Fax: 480-285-2182



To make a payment: