For your convenience, we have various forms and instructions for you to download to your computer. Thereby if you are a new patient, you can print out and fill out any necessary forms in the Welcome Package below and bring them with you to your first visit. If you are visiting us for a test, please find the appropriate testing instructions for you in the links below.

WELCOME PACKET FORMS

1) Patient Information
2a) Financial Policy 
2b) Notice of Patient Information Practices
3) Patient’s Medical History & Physical 

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

1) Balance Billing – Surprise Bills 

24-HOUR NOTICE POLICY

Please provide 24-hour notification if you are unable to keep your appointment.

ACCEPTED INSURANCES

  • Aetna Commercial
  • Aetna Medicare Advantage
  • Allwell Medicare Advantage- AHCCCS
  • Ambetter- Marketplace Health Plans
  • Arizona Complete Health-AHCCCS
  • *ASPA Network Plans
  • *AZ Care Network Plans (ACN)
  • BCBS AZ- Commercial
  • BCBS AZ Medicare Advantage
  • CareMore Medicare Advantage
  • Cigna Commercial
  • Cigna – Medicare Advantage
  • CorVel PPO Network
  • Devoted Medicare Advantage
  • *Equality Health Network Plans
  • Eternal Health Medicare Advantage 2024
  • Fortified PPO Network
  • Galaxy Health Network PPO
  • GoldKidney Medicare Advantage
  • GEHA-Aetna Signature Administrators Network
  • Health Choice- AHCCCS
  • Health Choice Generations- AHCCCS Medicare Advantage plan
  • Health Smart Complete PPO
  • Humana Commercial
  • Humana Medicare
  • *ICP Health Plans
  • Medicare
  • Mercy Care Plan AHCCCS
  • Molina Complete Care of AZ-AHCCCS
  • Multiplan Network
  • Prime Health PPO Network
  • Railroad Medicare
  • SCAN Desert Health Plan-Medicare Advantage
  • Three Rivers Provider Network PPO
  • Tricare Prime/Standard
  • United Healthcare Commercial & Medicare Advantage
  • UHC Community Plan- AHCCCS
  • USA Managed Care PPO
  • VA- CCN