NEW PATIENT FORMS

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

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Medical Records Release Form

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office 480-909-3700. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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Contact Info:

PHONE
480-909-3700

ADDRESS:

2680 S. Val Vista Drive Suite 177,
Bldg 14 Gilbert, AZ. 85295

600 S. Dobson Road Suite
E39/40 Chandler, AZ. 85224

Office Hours:

Monday 9AM-6PM
Tuesday 9AM-7PM
Wednesday 9AM-5PM
Thursday 9AM-6PM
Friday 9AM-5PM
Saturday 9AM-12PM
Sunday Closed

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