Forms

NEW PATIENTS

New Patient Registration Form
AIA-Sports Physical
Notice of Privacy Practices

 Complete the New Patient Form.
 Save the PDF form and upload /Email to [email protected]
 If you don’t have email, then you can fax to 480-539-1763
 Print and Bring a copy of completed form to your appointment.

ESTABLISHED PATIENTS

CONTACT

 Main Line:               480 539-8680
 Pharmacy Line:      480 675-5200
 Medical Retrieval:  480 675-5200
 Fax:                          480 539-1763
 Billing:                     480 539-0195

ADDRESS: 652 E. WARNER ROAD SUITE 107, GILBERT, AZ 85296

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