New Patient Paperwork
Below is a link for our patient registration paperwork. As well for easy reference there is a helpful list we created to give you an idea of what information you will need to have on hand when filling out the patient registration paperwork. The entire process should take you about 5 to 10 minutes but for patients that have more medical history to enter, it could take a little bit longer.
Please keep in mind that the registration forms will need to be completed prior to your appointment and you can fax them to 480-219-0343 or bring them with you to your appointment.
Please also bring copies of any prior test results, your driver’s license or picture ID, your insurance card, and any co-pay or deductible that applies.
If you have any questions, please feel free to contact us at (480) 219-0013. Our friendly, professional staff is committed to making your visit as pleasant and as comfortable as possible.
Information needed for patient registration forms:
- Medical Insurance Information
- Pharmacy Information (Phone & Locations)
- Current Physicians (Names & Specialties)
- Medical Allergies
- Current Medications (Dose & Frequency)
- Prior Surgeries
- Current Medical Problems
- Family Medical History
Click the Link to Download Paperwork
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