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Arizona Sports Chiropractic & Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

PATIENT AUTHORIZATION TO USE PROTECTED HEALTH INFORMATION

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CONSENT FOR USE OR DISCLOSURE OF HEALTH INFORMATION

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INFORMED CONSENT

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PATIENT QUESTIONAIRE

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MISSED APPOINTMENT AGREEMENT

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ACCIDENT QUESTIONAIRE  (ONLY IF INVOLVED IN A MOTOR VEHICLE ACCIDENT)

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Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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Sign up using the form below or call (602) 258-9663.

Office Hours

DayMorningAfternoon
Monday7am-12pm2pm-7pm
Tuesday7am-12pmClosed
Wednesday7am-12pm2pm-7pm
Thursday7am-12pmClosed
Friday7am-12pm2pm-7pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7am-12pm 7am-12pm 7am-12pm 7am-12pm 7am-12pm Closed Closed
2pm-7pm Closed 2pm-7pm Closed 2pm-7pm Closed Closed