Healthcare Practice                                                       'Providing High Quality Cost-Effective Healthcare To All'

DR. NLGD LLC Healthcare Practice        

1660 South Alma School Road ▪ Suite 125
Mesa, AZ 85210                                                                                                                                   

P 480.669.6452 ▪ F 888.977.3601                                                    

Email:       Info@DRNLGDLLC.com                                                      
Website:    www.DRNLGDLLC.com                   

                                                   

                                LEGAL - PRIVACY  l   COPYRIGHT © 2017 - 2018  l  DR. NLGD LLC.  ALL RIGHTS RESERVED.

Medical Appointment Cancellation Policy

Adolescent/Adult Medical History Information

Please take a moment to complete the 'Health Screening' form listed below as requested by our healthcare practice:

  Depression

Advanced Health Care Directive

  Mood Disorder

When properly integrated with a corporate wellness plan, screenings can help reduce health risks, improve health status, reduce health care costs, and improve productivity and performance of the workforce.


  Tetanus & Diphtheria Vaccine

Legal Privacy Policy -  Take a Moment to Read

Pediatric Medical History Information

  Personal Diabetes

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Office Hours                      By Appointment Only

Monday thru Friday            10:00 a.m. - 5:00 p.m.

Saturday & Sunday            Closed

New Patient Information

  Osteoporosis Risk

  Consent For Tuberculin Skin Test

Visit our nonprofit partner:


Family Matters Healthcare

Foundation

  Influenza Vaccine Consent Form

  Generalized Anxiety Disorder

Authorization to Leave Health Information by Alternate Means

Acknowledgement of Notice of Receipt of Privacy Policies

Member Services Guide

Clinic Financial, Payment & Other Policies

Authorization for Provider to Release Health Plan Information

Patient Registration and Insurance Assignment

Authorization to Disclose/Release Protected Health Information

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Member Registration