Forms and Insurance

New Patients

• New Patient Registration
• Patient Information
• HIPAA
• ABN

Established Patients – Registration Update

• Established Patient Registration – this form only needs to be filled out once. If you have completed this form already, please see below for regular visit forms.

Established Patients

• Established Patient: Regular Visit / Medical Update
• Established Patient: Physical

Medicare Preventative Care

• Medicare Annual Wellness Assessment

Accepted insurances

If you don’t see your insurance listed, please call our office for more information. Always bring your current insurance card to each visit.

Aetna HMO/PPO
Arizona Foundation for Medical Care
BCBS HMO/PPO
Beech Street
Cigna HMO/PPO
HealthNet HMO/PPO
Humana HMO/PPO
Maricopa Health Plan
Medicare
One Health
PHCS / First Health
State Comp. Industrial
TRICARE
United Healthcare HMO/PPO