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Are you a new patient and scheduled your appointment? Please fill our new patient packet entirely.  The forms can be faxed to 480.361.8216 or emailed to prior to your scheduled appointment.   Please include your insurance information on the first page so we can check your out-of-pocket expense prior to your appointment.  If you have any questions call 480.272.6332

Pediatric New Patient Packet Form(PDF)

No insurance or you prefer to take advantage of one of our discounted self-pay programs? Contact our office to learn more at 480-272-6332.