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.

Documents Requested for Initial Visit

Email Consent Form

Consent to Consultation

Consent for Treatment

Understanding Regarding Physical Exams

Laboratory Testing Policies

General Office Policy

Acknowledgement of Receipt of Notice of Privacy Practices

HIPAA Statement

History Form

Patient Information Form

Authorization for Release of Medical Records

Environmental Exposure Questionnaire

 

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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