Forms
NEW PATIENTS
Do you have access to a Printer?
If YES, then please fill out these forms, print them and bring them with you to reduce your wait time.
If NO, you will be able to fill them when you come in for your appointment.
2. Release of Medical Records from Previous Doctor,
REFFERAL FORMS
If you are a specialist office requesting for medical records for a patient who needs to be seen in your office please print out the form below and fax it to us in 480-598-4346.
This will ensure your office receives the records promptly.
1. Specialist Medical Records Request Form



