Office Ph (480) 467-0288
New Patient Information Form
New Patient Forms
For your convenience, you may download the required patient forms, fill them in, and bring them along to your first appointment or email scanned copies to [email protected]. Just click on one of the forms below.
Please do not email or text photographs of the forms.
NOTE: You may need to download ADOBE ACROBAT READER to access the forms if you do not already have it installed on your computer. If completing manually, you may consider using an app on your smartphone such as "NOTES" or "MICROSOFT LENS" (they're free) to create PDFs of completed forms using your phone's camera.
If you have any question concerning these forms or our office policies, please don't hesitate to contact us.
Couples Intake Form
Privacy Policy
All PATIENTS MUST READ THIS POLICY AND SIGN THE ACKNOWLEDGEMENT PAGE.
Authorization to Treat a Minor
(After completing, save the form to your computer or device and email the PDF file)
(After completing, save the form to your computer or device and email the PDF file)
