First Time Visit to Our Practice

PLEASE READ CAREFULLY


What do I need to bring to my first visit ?

  • All insurance and prescription cards. It is also suggested that you bring a list of all prescribed and over the counter vitamins or supplements that you are currently taking.
  • Bring copies of medical records or test results or ensure that your physicians send these to our office at lease one week prior to your scheduled appointment.
  • Our fax number is (480) 614-0353.
  • Bring a referral from your health plan if one is required, or ensure that authorization has been obtained by your primary care physician, if one is required.

Please print, fill-in, and sign all the documents of the New Patient Registration Packet. Please bring ALL these completed and signed documents to your first visit so that they may be scanned into your medical record. Our New Patient Registration Packet is provided in both Adobe PDF and Microsoft Word Document formats for your convenience.

Form Adobe PDF Microsoft Word Document
New Patient Registration Download PDF Download Word Doc

*Note: Please review our Privacy Practices. It is not required that you print the privacy practices, they only need be reviewied.