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Patient Information

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