Quick Guides & Forms

 

Office Information and Quick References

Triage advice during regular business hours is available to our patients. There is no charge for triage advice during regular business hours.

There is a $7.00 charge for all after hour's calls for nurse advice, help lines and poison control information.

For patients paying at time of service, a discounted rate is offered.

Missed Appointments will result in a $30.00 charge.

  • Well Check appointments, if you need to cancel or reschedule,  please call with 24 hours notice otherwise $30.00 charge may apply.
  • Same day appointments, if you need to cancel or reschedule, please call us one hour prior to appointment time, otherwise a $30.00 charge may apply.
Requests for Medical Records
  • There is a charge for medical records when records are released to the parent. $10.00 if records are picked up, $15 if records are mailed. Payment should be included with our signed medical release form in order to expedite your request.

Forms New Patient Instructions

Please print and fill out the top 3 forms (Patient Information, Patient History, and Credit Card Form) and bring them into the office on your first visit or you may fax the forms to 480-545-4551.

 

Other Resources

Please print out these forms and bring completed forms into the office. The first two forms are for the initial assessment, the third form is the follow-up.