DO NOT PURCHASE THIS UNTIL YOU HAVE READ AND UNDERSTAND THE FOLLOWING!!

 

Completion of Basic Medical Forms

 

You may send your medical form(s) to contact@anewdirectionaz.org

 

Cost:  $10.00 per page (Please ensure your purchase is for the correct amount)

Example:  A 2-page form would require a $20.00 purchase. 

 

** A General Health evaluation completed by a licensed A New Direction Health & Wellness healthcare provider within the past 90 days MUST be on file with A New Direction Health & Wellness prior to completion of any Medical Forms.  If you have not been seen by a licensed A New Direction Health & Wellness provider withing the past 90 days, a General Health evaluation will need to be scheduled prior to completion of any medical forms.

 

**Your A New Direction Health & Wellness chart will be reviewed to ensure a General Health evaluation which contains all the necessary information required to complete your medical forms prior to completion of your medical forms.  If it is found that information is missing, you will be contacted via email to discuss additional requirements necessary to appropriately complete your medical forms. 

Medical Form Completion

$10.00Price