Help us make your visit easier… Please fill out the forms below and bring with you to your appointment
Instructions for online payment. Please read each item below before paying.
By using this payment portal, you are attesting that you are following the financial guidelines that were signed by you in the office.
1. You are paying a balance that has not gone to collections and is within the payment guidelines of 90days. (Any payments made on accounts that have gone to collections will be returned as we can no longer accept these payments)
2. Please make sure you are paying a current balance and not a prior statement balance. If you are unsure please call the office at 623-584-0800 to confirm.
Thank you for keeping your account payments current.
Instructions to complete your patient portal.
1. Complete the following: Medical History
A. Past medical history (then click submit and scroll back up to top)
B. Social History (then click submit and scroll back up to top)
C. Family History (then click submit and scroll back up to top)
D. Review of systems (then click submit and scroll back up to top)
2. Surgery and Allergies
• Fill out and click submit.