Patient Information

Most Insurance Accepted!

Aetna, Blue Cross/Blue Shield, United, Humana, Healthnet, Cigna, Medicare, AHCCCS and several other plans.

New Patients Please Click the Links Below:

Please print and complete the 4 forms below prior to your appointment. Or you may fax your forms
to Fax # 602-242-9220

PATIENT REGISTRATION FORM

PATIENT PRIVACY PRACTICES

AAPA PATIENT HISTORY FORM

Please Click the Link Below for Medical Records Release

AUTHORIZATION TO RELEASE RECORDS

If you require a PDF Reader Click PDF Reader