New Patient Paperwork

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 info@tstaz.com 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 480.272.7140

New Patient Packet Form (PDF)

New Patient Packet Form (Word version)

Pediatric New Patient Packet Form (Word version)

Pediatric New Patient Packet Form (PDF)

No insurance or you prefer to take advantage of one of our discounted self-pay programs? Check out our Self pay rates.

Cash Pay Rates (PDF)