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Privacy Notice (HIPAA) Patient Information Form

Records Release 1Records Release 2 If you cannot access the forms you can click on the icon to download the software.

Provided on our website are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

Contact

3237 North Windsong Drive, Prescott Valley, AZ 86314

PHONE (928) 772-5320
FAX (928) 772-5319

Our office is closed during most major holidays.

  • Monday – Thursday: 8am – 5pm
  • Friday7am – 3pm
  • Weekends: Closed

Treatments

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