All appointments (new patient and follow-ups) can be scheduled by calling 520-296-7766 or Faxing us at 520-296-2301. Prior to your first appointment please complete:
Registration form/Directive for Handling Appointments and Billing HIPPA form | En Español
Authorization to Release of Protected Health Information | En Español
Office policy form | En Español
HIPAA Policy for patients | En Español
Financial Responsibility Agreement & Policies | En Español
Download All Forms | En Español
Bring with you to the first appointment:
All medications you are currently taking.
Any medical records that might be useful in your evaluation—labs/recent physical/ IQ or psychological testing results, in addition for children also recent report card, behavior sheets, ARD recommendations ect.
Ensure your new patient paperwork has been received at the office at least one day prior to your appointment- registration form/Directive for Handling Appointments and Billing, HIPPA, Authorization to Release of Protected Health Information, Medical History form and office policy---make sure you have read and signed all forms.
For minors, if parents are divorced or child is in another’s custody the legal guardian must bring custody papers otherwise the child will not be evaluated.
Support person- spouse, significant other, parent, legal guardian ect.
A form of payment (cash, check, mastercard, or visa only)
Registration form/Directive for Handling Appointments and Billing HIPPA form | En Español
Authorization to Release of Protected Health Information | En Español
Office policy form | En Español
HIPAA Policy for patients | En Español
Financial Responsibility Agreement & Policies | En Español
Download All Forms | En Español
Bring with you to the first appointment:
All medications you are currently taking.
Any medical records that might be useful in your evaluation—labs/recent physical/ IQ or psychological testing results, in addition for children also recent report card, behavior sheets, ARD recommendations ect.
Ensure your new patient paperwork has been received at the office at least one day prior to your appointment- registration form/Directive for Handling Appointments and Billing, HIPPA, Authorization to Release of Protected Health Information, Medical History form and office policy---make sure you have read and signed all forms.
For minors, if parents are divorced or child is in another’s custody the legal guardian must bring custody papers otherwise the child will not be evaluated.
Support person- spouse, significant other, parent, legal guardian ect.
A form of payment (cash, check, mastercard, or visa only)