Patient Information

Patient Forms

If you are a new patient, please print out, read and complete the following documents before you come in for your first office visit:

If you are already scheduled for a Sleep Test, please complete the following form before you come in for your sleep test:

Please note that all documents are in Adobe Acrobat (PDF) format. If you do not have Adobe Acrobat Reader, click here: Adobe Acrobat Reader for a free download.

Co-payments are due at the time of your appointment. We accept cash, check, debit and credit cards. We do not collect a co-payment for PFT’s.
 If there has been any changes to your insurance, please make sure to bring your card with you at the time of your appointment. With all the rapid changes in health care, it is impossible for us to know the nuances of each insurance plan. Your particular coverage is between you and your insurance provider; it is your responsibility to know your coverage.
If you require a referral for the visit, it is your responsibility to obtain this referral from a referring physician prior to your scheduled appointment. You can have your referring doctor fax it to our office at 480-325-8179. If you do not arrive with a referral, and it is required by your insurance carrier, your appointment will be rescheduled.
If you have had any x-rays, CT scans, MRIs or any other test that pertains to your visit, please let our staff know when you schedule your appointment so we can obtain those records before you arrive.
If you have recently moved or changed your name, please let us know so we can keep all of your information as up to date as possible.

 

Contact Us Today

Contact us at 480-325-8173 with any questions about our patient forms or the more information. You can also contact any of our three locations directly to schedule an appointment.