Patient Forms & Privacy

Getting to Know You

Great communication starts here. A patient’s background and health details help ensure both you and our physician are prepared to provide the exact care you need. To make the most of our time together, please download the appropriate forms and complete these forms in advance of your visit.

New Patient Packet

Chief Complaint/Reason For Visit Form

New Patient Referral Form

Authorization to Release Medical Records Form

Narcotic Agreement

Arizona Prop 207: Legalization of Recreational Marijuana

Privacy Policies