NEW PATIENT INFORMATION

NEW PATIENT INFORMATION

We provide a wide range of professional services to meet your needs. We promise to provide every service with a smile, and to your highest level of satisfaction. 
Patient Demographics and Insurance

Demographics

Basic information regarding your name, address, and insurance
Health Questionaire

Health History

Past medical and social history, allergies, medications, and surgeries
Practice Policies

Practice Policies

Patient rights and practice policies

New Patient Information

We offer a wide range of services to meet every type of need.
  • You can print the new patient paperwork to complete in the privacy of your own home. 
  • Please bring in the completed paperwork, your driver's license, and insurance cards 15-20 minutes before your first appointment.
  • New patients may also come by the office to pick up a new patient folder with all the paperwork inside.
  • If you wish to complete the paperwork in the office please come in 30 minutes before your appointment to allow yourself time to complete the forms.
Click the link below to download and print new patient paperwork.  Please bring in completed paperwork 20 minutes prior to your first appointment.  We look forward to meeting you!
New Patient Paper Work

                       Insurance Accepted

  • Medicare
  • United Healthcare
  • AHCCCS- Healthchoice
  • AHCCCS- 1st Care
  • Aetna
  • Blue Cross and Blue Shield
  • Humana
  • Wellcare
  • Ameriben
  • Gilspar
  • Tricare
  • Cash Pay

Patient Testimonials

Very thorough and compassionate. I never feel rushed and all questions are answered. Staff is very kind and efficient. I highly recommend!
Linda L.
She never makes me feel rushed and is a great listener.  I feel like I can tell her anything.

Patty M.

Interested in our services? We’re here to help!

We want to know your needs exactly so that we can provide the perfect treatment plan for you. 
Book an appointment
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