Your medical history is imperative to a successful visit

Please print and complete all forms prior to your appointment. If you prefer to fill out the forms in person, we ask that you arrive at least 30 minutes before your scheduled appointment time.

Our patient services representatives are here to help! Give us a call at 480.428.3232, or email us at psr@scnm.edu.  

Intake Forms Please download the intake form that applies to you (or the patient being seen):

New Patient Forms: Download and complete all of the following consents and legal documents:

For a Copy of Your Medical Records

Get your medical records from Southwest College of Naturopathic Medicine through RecordQuest by clicking here.

We've made it faster and easier to request medical records from Southwest College of
Naturopathic Medicine. On Friday, March 19, 2021, we launched our Request Portal
powered by RecordQuest. We appreciate your cooperation in submitting all future
requests through this site.

With the new Request Portal you can:

  • Upload request documents, authorizations, and subpoenas
  • Get an acknowledgment of receipt
  • Specify your own reference code