Office Paperwork Forms New Patient Forms: Authorization to obtain records Authorization to release records Credit card on file agreement Demographics form Financial policy Notice of privacy policy Medical history form Office policies Text mesage consent form Follow Up Patient Forms: Credit card on file agreement Financial Policy Notice of privacy Office policies PHI authorization family disclosure No Show and Cancellation Policy Text message consent form Patient Portal Insurances NOT accepted to include the following: BCBS Maricopa Focus (ID number starts with FLH) Cigna Connect HMO Molina AHCCCS Care First AHCCCS Arizona Foundation
