Caregiver Forms

This form is for someone that is becoming a Caregiver for a Licensed Arizona Medical Marijuana Patient. 

This form is used for an Adult Medical Marijuana Card holder that wants to ADD or REPLACE a CAREGIVER in the Medical Marijuana Program.

This form is for someone that is becoming a Caregiver for a MINOR Licensed Arizona Medical Marijuana Patient. 
THIS IS ONLY FOR CAREGIVERS OF A MINOR (PARENT OR LEGAL GUARDIAN)

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Dr. Aiyana Brown

Image of Dr. Sonya Johnson

Dr. Sonya Johnson

Disclaimer

Naturopathic Doctor Visit Insurance Reimbursement Disclaimer:
Natural Healing Care Center currently does not accept insurance for naturopathic services. However, we can assist with out-of-network deductions by providing an ICD Code for a New Patient Problem Focus Exam. By providing the insurance company with the ICD Code, it will allow them to deduct full or partial costs depending on the financial policies of the provider. The patient may personally contact their insurance company to inquire if they can accept the following ICD Code listed below.

ICD Code:
99201

Additional Reimbursement Options:
At the time of the naturopathic visit, NHCC will provide each patient with an itemized receipt of the services rendered, which the patient can provide to their insurance company for full or partial reimbursement. If there are any additional inquiries or questions involving insurance or coverage or about our licensed naturopathic physicians, please contact the NHCC office directly!