Consent to Receive Treatment

I acknowledge that Natural Endocrinology Specialists (NES) has discussed with me the medical basis for acupuncture/TCM in my case and has discussed the risks and benefits of this therapy with me. I understand that I have the right to a second opinion and to secure other opinions about my circumstances and healthcare as I see fit.

I hereby consent to treatment by acupuncture/TCM and certify that I understand the nature of this treatment, including the risks of possible complications and choices I may have about other approaches. I have been adequately informed, questions I have asked have been satisfactorily answered, and I have executed this consent voluntarily and of my own choice. I have not been offered any guarantee as to the outcome. I have given my provider at NES all of the information they need to make treatment decisions in my case.

I represent that I am seeking treatment in order to further my own health and for no other reason. I do not represent a third party. I acknowledge receipt of a copy of this consent should I request it.

Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd. Suite A 109
Scottsdale, AZ 85255

Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 3:30PM
Sat - Sun: Closed
This Site may include a variety of features, such as health tips and videos, services provided at Natural Endocrinology Specialists™, our online Supplement store, NESAZ Programs, email, and patient portal services. DISCLAIMER: These statements have not been evaluated by the Food & Drug Administration. These programs and products are not intended to diagnose, treat, cure, or prevent any disease. The information contained herein is for informational purposes. Please be sure to consult your doctor before taking this or any other product/program. Consult your doctor for any health problems or before starting a new program.
Copyright © 2024 Natural Endocrinology Specialists™. All Rights Reserved.
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram