Patient Forms – Primary Care Doctors

New Patient Packet

(New patients start here - includes HIPAA form)

Save time by downloading our New Patient Form and filling it out in the comfort of your home. Please print a copy of your completed form and bring it with you to your appointment.

HIPAA Privacy Form

(Update your medical privacy information)

The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information.

Suboxone Treatment Program Form

(Complete this packet prior to first appointment)

We are offering Suboxone treatment in our Tempe facility as part of a multidisciplinary, holistic approach to drug addiction treatment. Please print a copy of your completed form and bring it with you to your appointment.