New Client Forms

Please complete, sign and return to Laurie prior to your appointment if possible (Fax # 480-794-1365). If not able to fax, then bring completed forms to first appointment.  

• Client Profile
• Practice Policy and Consent to Treat
• Authorization to Release Medical Records
• Credit Card Authorization
• HIPAA Notice of Privacy Practices (READ ONLY)

For Providers

• Physician Referral Form