Adult New Patient Intake Form
(Age 8+)

Adult New Patient Intake Form
File Size:	702 kb
File Type:	pdf

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Pediatric New Patient Intake Form
(Birth to Age 8)

Pediatric New Patient Intake Form
File Size:	745 kb
File Type:	pdf

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Minor Consent Form (18 and under) 
​Fill out this consent form if you intend to have your minor child examined or treated without you present.

Minor Consent Form
File Size:	570 kb
File Type:	pdf

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Arizona Worker's Compensation Form
Please complete the top portion of this form if you were injured while working and have an open Worker's Comp claim with your employer. 

AZ Workers Comp Form ICA 0102
File Size:	539 kb
File Type:	pdf

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Motor Vehicle Accident Details Form
Please complete form to provide us with details about your accident. 

Motor Vehicle Accident Details
File Size:	590 kb
File Type:	pdf

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Medical Records Release Form
Please complete this form if you were treated by another doctor and would like your records sent to us for review. 

Medical Records Release Form
File Size:	481 kb
File Type:	pdf

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