Welcome to Arizona Institute of Medicine & Pediatrics!
We welcome you as a patient and thank you for choosing us to participate in your health care!
For your first appointment, please arrive 15 minutes prior to your scheduled appointment to complete the registration process. Additionally, we ask that you bring all medications you are currently taking, including supplements and over-the-counter medications, in the original bottles, so that they charted correctly upon your initial visit.
Please bring the following to your appointment:
- Photo ID
- Insurance card
- Completed enclosed forms
Adult – New Patient – Download Now
Adult Health History – Download Now
360 Patient Form – Please only fill out this form if instructed by office staff
Pediatric – New Patient – Download Now
Pediatric Health History – Download Now
Authorization Release – Download Now
HIPAA & Privacy Guidelines – Download Now
Electronic Medications History – Download Now
Authorization for Release of Medical Information – Download Now
- All current medications, in the original bottles