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                                                    



​                                 LEGAL - PRIVACY  l   COPYRIGHT © 2017  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:


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.

  Consent For Tuberculin Skin Test

Legal Privacy Policy -  Take a Moment to Read

Pediatric Medical History Information

  Personal Diabetes


Office Hours

Monday thru Friday            10:00 am - 3:00 pm

Saturday & Sunday            Closed

New Patient Information

  Osteoporosis Risk

  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

Stay Connected!

Member Registration