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Online Forms

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

Download & Print Form


CONSENT FOR USE OR DISCLOSURE OF HEALTH INFORMATION

Download & Print Form


INFORMED CONSENT

Download & Print Form


PATIENT QUESTIONAIRE

Download & Print Form


MISSED APPOINTMENT AGREEMENT

Download & Print Form


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

Download & Print Form


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Office Hours

Our Regular Schedule

Monday:

7:00 am-12:00 pm

2:00 pm-7:00 pm

Tuesday:

7:00 am-12:00 pm

Closed

Wednesday:

7:00 am-12:00 pm

2:00 pm-7:00 pm

Thursday:

7:00 am-12:00 pm

Closed

Friday:

7:00 am-12:00 pm

2:00 pm-7:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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