New Patient Medical Information and Forms

In order to get the most out of your first appointment, please bring or send the following information and forms at least 48 hours in advance of your appointment, if possible:

Test Results and Other Medical Records:

To get the highest possible level of service from me at your appointment, if you have been under a doctor's care or otherwise obtained medical tests within the last several years, please bring all test results, and related interpretations and diagnoses with you or request that the physician's offices FAX them to Dr. Tevna Tayler at 520-437-0213. If the results are in the form of films or other media, they can be emailed to me at drtayler@whhas.com or mailed to PO Box 68255, Tucson, AZ 85737. This is not essential, but it will help me treat you most effectively and avoid delays in treatment that can be caused while waiting for critical test results to be obtained.

If you need a "records request" form from my office to send or bring to your doctor to request that your records be sent to me, you can download it here:

Note: Certification patients must provide all of your last 12 months of medical records as well as verification of your qualifying medical condition diagnosis. This is not optional and you must either bring all those records to your appointment or pay the processing fee for my office to request them ($20). If you do not have any records related to your condition, you must see your primary care doctor to obtain a proper diagnosis or schedule a regular Initial Consultation with me and I can order the tests that you will need.

Wildhorse New Patient Forms:

ALL new patients, please print and fill out the set of forms from the link below and send them to me or bring them to your first appointment:

If you are only scheduled for a Certification appointment, you do not need the forms below. ALL other new patients, please complete the forms below:

Initial Homeopathy patients, please also complete the forms below:

Sending Instructions:

Bring your completed forms with you to your appointment or send them to Dr. Tevna Tayler using one of the following secure options:

  • FAX: FAX each completed form to 520-437-0213
  • EMAIL: Email each completed form to drtayler@whhas.com
  • MAIL: Mail each completed form to PO Box 68255, Tucson, AZ 85737

All methods of sending information described above are secure and only I will have access to your medical records, which are kept secure and confidential and never released without your written consent.

For more information about me and Wildhorse Natural Medicine, please visit the About Page. For Information on the services offered at Wildhorse Natural Medicine please visit the Services Page.