480-598-4145

NEW PATIENTS

Do you have access to a Printer?

If YES, then please print then fill out these forms and bring them with you to reduce your wait time.

If NO, you will be able to fill them when you come in for your appointment.

1. New Patient Registration,

2. Release of Medical Records from Previous Doctor,

 

 

 

 

REFERRAL FORMS

If you are a specialist office requesting for medical records for a patient who needs to be seen in your office please print out the form below and fax it to us in 480-598-4346.

This will ensure your office receives the records promptly.

1. Specialist Medical Records Request Form