Intake Forms

Please fill out the Berkner Naturopathic LLC intake form and bring it with you to your initial consultation. This intake form will help us assess your history so we can spend more time with you during your office visit.

 

GENERAL INTAKE FORM

 

 

Dr. Berkner is approved and is associated with the following governing organizations. If you would like more information concerning those organizations please feel free to click on the links below.

Arizona Naturopathic Medical Association (AzNMA)
The Arizona Naturopathic Medical Association (AzNMA) is a professional association for Arizona licensed Naturopathic Physicians.

State of Arizona Naturopathic Medical Board
The primary duty of the Board is to protect the public through the regulation of the practice of naturopathic medicine.