Patient Forms
New Patient Form – Download & Print Form
If you do not have AdobeReader® installed on your computer, Click Here To Download.

Please bring any X-Rays, MRI’s, records or Orthotics with you to your appointment.
We ask that you arrive 10 minutes early to your appointment time to fill out the New Patient Paperwork or fill them out in advance.
Thank you
Insurance
We accept most insurance plans. This list is subject to change. Please call the office if you have questions regarding any insurance.
It is important to note any copayments, deductibles, or fees for service not covered by insurances will need to be paid at the time of your office visit.
WE ARE NOT IN NETWORK WITH LIFEPRINT OR BANNER PLANS
Active in network plans:
AARP – PPO plans only. OPTUM IS NOT IN NETWORK
AETNA – HMO, PPO, MEDICARE HMO & PPO, SIGNATURE ADMIN.
Anthem Blue Cross
BLUE CROSS BLUE SHIELD – ALLIANCE, ACCLAIM & ADVANTAGE PLANS ARE NOT IN NETWORK
CIGNA – HMO, PPO, OPEN ACCESS & OPEN ACCESS +, Choice Fund PPO, OAP Network/Cigna Access COVENTRY – AETNA PLAN GEHA GOLDEN RULE/ UHC – CHOICE +, COMPASS AND +, NAVIGATE +
MEDICARE – RAILROAD NOT ACCEPTED
UNITED HEALTH – SELECT AND SELECT +, HERITAGE, NAVIGATE PLUS AND BALANCE HMO, OPTIONS PPO, PASSPORT CONNECT, CHOICE AND CHOICE + = REQUIRE REFERRALS
WORKMAN’S COMPENSATION
AHCCCS – Arizona Complete