DR. DNA New Patient

Thank you for your interest in my practice, research, and formulations. I will be posting research blogs starting in 2020. For now, if you need the intake form to establish yourself as a new patient (for a phone consultation), please call the office at 928-214-8793. My assistant will mail you the form. Please fax it with your medical records to me at 866-395-7841. Or, you may mail it to the office at

3011 N. West St.
Flagstaff, AZ 86004

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Intake Form

My intake form is below for you to cut and paste the link into your browser. Once you do that, you can print the document and return to me (...