Patient Forms

Below are patient forms required to start the new patient process. Please download, fill out completely and email us (Frontdesk@apexphysiciansid.com) the new patient packet. This will save you time on the day of your visit.

We look forward to caring for you!

Fill In Online New Patient Packet or Individual Forms and Submit

Fill In Forms Online

New Patient Registration Form

Consent To Communicate

Appointment & Financial Policies

New Patient Health History

Authorization For Release

Current Medication Form

Privacy Practices

Apex To Provider Release

CARE TEAM & PATIENT AGREEMENT

Download New Patient Packet OR Individual Forms Below

Download Forms

New Patient Registration Form

Consent to Communicate

Appointment & Financial Policies

New Patient Health History

Current Medication Form

Privacy Practices

Authorization For Release

Apex to Provider Release

CARE TEAM & PATIENT AGREEMENT

Patient Forms

Fill In Online New Patient Packet or Individual Forms and Submit

Download New Patient Packet OR Individual Forms Below

OUR STAFF | CONTACTS

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480.454.4185 480.745.2420 7312 E. Deer Valley Rd. Ste. 100 Scottsdale, AZ 85255