New Patient Information

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current insurance information.

If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon ‘Get Acrobat® Reader‘. This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.

We participate with the following Health Insurance Plans:

  • AARP Medicare Complete
  • Abrazo Advantage – Medicare Replacement Plan
  • Aetna
  • AHCCCS – Bridgeway
  • AHCCCS – Care 1st
  • AHCCCS – Health Choice
  • AHCCCS – Health Net
  • AHCCCS – Maricopa Health Plan
  • AHCCCS – Mercy Care
  • AHCCCS – Phoenix Health Plan
  • AHCCCS – University Health Plan
  • Arizona Foundation for Medical Care
  • Attorney Liens
  • Banner Choice Plus
  • Banner East Valley
  • Blue Cross Blue Shield
  • Caremore Health Plan
  • Champus West Region
  • Cigna
  • Evercare
  • Excel Care Network
  • GEHAGilsbar
  • Golden Rule
  • Healthnet – PPO/HMO
  • Healthnet Market Place – IFP PPO only
  • Health Partners – Meritus HMO
  • Humana (except Medicare Replacement Plans)
  • ICA Worker’s Comp
  • Life Print
  • Mail Handlers
  • Medica
  • Medicare
  • Mercy Maricopa
  • Mutual of Omaha
  • One Care – Medicare Replacement Plan
  • Pacificare
  • Personal Care Plus – Medicare Replacement Plan
  • Scan
  • Secure Horizon
  • Tricare
  • United Health Care
  • USAA Life
  • Veterans Administration

We accept the following payment methods:

Cash, Check, Visa, MasterCard, or Chase Health Advance.