These are the forms that you'll need to bring to your Initial Appointment:
1. Patient Information Sheet
2. Consent / Arbitration Form
3. Acknowledgment of Receipt of Privacy Practices Form
4. Patient Authorization for Use and Disclosure of Protected Health Information
HIPPA:
Notice of Privacy Practices
Please call Donna Rebadow at (623) 581-3300 if you'd like to make an appointment by phone or to ask questions before you come in.
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