Complete Your New Patient Appointment Forms

For your convenience, the button below will allow you to download the patient forms needed for your appointment. Please download and complete the forms in Microsoft Word. You can then complete one of the following:

  1. Send the completed form file as an attachment to, OR
  2. Print the forms out, complete them, and bring them with you to your appointment.

Please Note: If you decide to print them out and bring them into the office on the day of the appointment, we kindly as that you arrive 30 minutes early so we can scan the paperwork in and create a chart for you. No one will be seen by a provider until the chart is created. The early arrival time allows your appointment to not be delayed.

Please download the forms with the button below.

Rapid COVID Testing Available

21321 E. Ocotillo Rd. suite 133, Queen Creek AZ 85142.

For quick and easy enrollment and scheduling, please contact us today. Help our state stay safe by getting your test done now.
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