Patient Forms
We are happy to hear from you. Please contact us using the information below:
Clinic
Tel: 928.773.2280
Fax: 928.773.2281 |
Physical Therapy
Tel: 928.214.2836
Fax: 928.214.2837 |
Billing Department
Tel: 928.214.2890
Fax: 928.773.2126 |
"Avoid the Emergency Room. Same Day/Next Day Access for Acute Injuries" Click here for more information.
New Patient Forms
Please complete the new patient forms once you have scheduled an appointment with our office. Please click the below link to download the form:
 Medical Records Release Request
FBJ Welcome Letter
New Patient Registration Forms
Notice of Privacy Practices
Financial Policy
Patient Consent Form
Controlled Substance
For faster check in on the day of your appointment, you can now fax these forms in advance to 928.773.2281. Please ensure that you selected which physician you are seeing at the top of the first page
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