Patient Forms

Please contact us to schedule an appointment.  Once you have a scheduled appointment you may download the following forms and fill them out at your convience.  You can either bring the completed forms to your Initial appointment or fax it to (623)536-7385.  We understand that the information you are sending is private and can assure you that it will be handled accordingly.  Please do not hesitate to contact us if any questions or issues arise while completing the forms.  We look forward to meeting you!

Read NOTICES OF PRIVACY PRACTICES

NEW PATIENT REGISTRATION FORM

COVID 19 MEDICAL QUESTIONNAIRE

UPDATE FORM - MEDICAL HISTORY AND INSURANCE

CONSENT FOR EMAIL/TEXT COMMUNICATION

CHILD RELEASE / TREATMENT FORM

All forms are in Adobe PDF format.  You may download the latest version of Adobe Reader here.