Online Forms
Complete your patient forms in the convenience of your own home or office, and spend less time in the waiting room.
How it works
1
Download the form
Download the new patient health history form below. You’ll need a PDF reader such as the free Adobe Reader.
2
Print and fill it out
Print the form and fill in the required information. Please use black ink.
3
Send it to us
Fax your completed form to 480-821-6326, or bring it with you to your appointment.
Required
New Patient Health History Form
This tells us the history and current state of your health. What questions, concerns, or wellness goals can we help you with? Let us know.