Patient Forms

All forms that you will need to fill out prior to your appointment will be included in your confirmation email. For your convenience, we’ve also included the forms here as well. Please contact our office at 480-990-1111 if you have any questions about the forms required for your visit.

Authorization for Release of Medical Records

Consent to Consultation

Electronic Mail Consent

General Office Policies

HIPAA Acknowledgment

Informed Consent Form

Initial History and Preconsult Form

Lab Testing Policies

Notice of Privacy Practices

Patient Information Form

Requested Documents for Initial Visit

Understanding Regarding Physical Exams

 

Have questions? Would you like to set up a free 10-minute phone consultation with one of our doctors to see how we can help you? Call us at 480-990-1111 or simply click here to get started.

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