Patient Forms & Insurance

To save you time, please fill out all new patient forms before you arrive. The forms include your medical history, your current medical issues, family history, insurance information, authorizations, etc.

New Patient Forms


Most major forms of insurance are accepted. If you are uninsured we have affordable cash options.

  • Aetna
  • Arizona Complete Health
  • Arizona Priority Care
  • BlueCross BlueShield
  • Care 1st
  • Cigna
  • Health Choice
  • Health Net Federal Services
  • Humana/ChoiceCare
  • Medicaid
  • Medicare
  • TriWest Healthcare Alliance
  • United Healthcare

Based on HIPAA guidelines, this website is not considered a secure environment. Do not communicate information through this website that you, as the patient, want to remain confidential. Please call our office if you have any questions.

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