PRACTITIONERS
Dr. Wendy Rashidi,
MD
Tricia Borchers, PA-C
Mary Brown, FNP-C
KEY STAFF
Martha Decker, Holistic
Coord
Nova Chambers, CMT
Trina Elsner, RN
Pat Hawk, CDE
Nicole Smith, PA-C
NEW PATIENT REQUIRED FORMS
| Patient Information Form | Download PDF Form, complete, and bring to your first appointment |
| Health Questionnaire | Download PDF Form, complete, and bring to your first appointment |
| Health Appraisal Questionnaire (Holistic Consultations only) | Download PDF Form Bring to your first holistic consultation |
| WVMG Medication Refills Policy | Download PDF |
HOLISTIC SERVICES INFORMATION & FORMS
| WVMG HRT Services | Download PDF |
| New Patient Check-Off List | Download PDF Form |
| Holistic Services Agreement | Download PDF Form |
| Consent for Use of Bioidentical Hormone Replacement | Download PDF |
| Holistic New Patient Costs | Download PDF |
| ZRT Instructions | Download PDF |
Please bring your health insurance card to your first appointment.