Downloadable Patient Forms (PDF format)

NEW PATIENTS: Download and print this forms packet for your first visit to the office. Bring the completed forms to your first visit, so you do not have to arrive early to complete new patient paperwork:
New Patient Packet

PHYSICAL AND WELLNESS EXAM documents for downloading:
If you have MEDICARE or any MEDICARE ADVANTAGE PLAN, please download and fill out THIS packet.

If you have any COMMERCIAL Insurance, please download and fill out THIS packet

Authorization to obtain prior medical records from other physicians or to send your records from our office to other physicians: Authorization to release medical records

Arizona Living Will and Durable Healthcare Power of Attorney (DPA): Living Will & DPA


IMPORTANT OFFICE POLICIES
✴ Appointment reminders: Our automated appointment reminder system will call you two days in advance of your scheduled appointment. You are encouraged to listen to the prompts and confirm or cancel your appointment. If you are canceling, we will also call to confirm before removing from our schedule.

✴ Urgent care appointments: Each day physicians reserve “Urgent care” same-day appointments times. These appointments are available on a first-come, first-serve basis. The office phones open at 8:30 a.m., Monday through Friday.

✴ Cancellation and No-Show policy: We require a 24 hour notice for all cancellations. If you cancel less than 24 hours or do not show for your appointment, you will be charged a fee. If you are late for your appointment we may ask you to reschedule.

✴ Prescription refills: As a courtesy, we will refill medications between your regularly scheduled visits for conditions that your doctor is treating. You can make a request by contacting your pharmacist or through our patient portal. Please allow 48 hours for your request to be fulfilled. We will not refill medications after hours or on weekends.