Cholla Medical Group is taking on new patients:
Contact us to schedule an appointment, and review the checklist below to learn more about what we need from each new patient.
To schedule an appointment:
- Call: 480-298-9951
- Email: email@example.com
- Fill out a Contact Request Form (click here)
We have a few forms to fill out before your first appointment
- Registration Packet (The registration packet must be filled out and returned so we can bill your insurance in a timely manner.)
- Medical History Form
- Copy of your Insurance Cards
- Copy of Drivers License
The Authorization form must be signed by the patient or by the patient’s POA (Power of Attorney). If signed by the POA, please provide documentation of the relationship.
Feel free to contact us with any questions about our registration packet. You can download our packet online or request that we send it to you vial mail, email, or fax. Once you receive your registration packet and fill everything out you can return the documents to us via:
- Fax to: 866-246-5494
- E-mail to: firstname.lastname@example.org
- Mail to: 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225