Online Patient Forms

Below you will find some of our most common forms. You can save significant time during your appointment by completing the appropriate forms prior to your visit. For new patients, simply print out the Patient Registration, History & Physical form, Financial Policy form and Release of Information/HIPPA Privacy Practices form, fill in the information requested, and bring the completed forms with you to your appointment.

Medical Records RequestFor the convenience of our patients we have posted our medical records request form online. Simply click on the link below then print and fill out the attached form.

Worker’s Compensation Injury Forms


Top Doctors for 20 years and counting!

Phoenix Magazine has consistently awarded TOCA doctors with the coveted Top Doctor award since 1996 – the very first year the award was introduced!


Find your TOCA clinic

Glendale • Phoenix • Scottsdale • Tempe


[/av_icon_box]

Fax Referral Forms

[/av_one_half]

Medical Records Request

For the convenience of our patients we have posted our medical records request form online. Simply click on the link below then print and fill out the attached form.

Worker’s Compensation Injury Forms

[/av_section]

Top Doctors for 20 years and counting!

Phoenix Magazine has consistently awarded TOCA doctors with the coveted Top Doctor award since 1996 – the very first year the award was introduced!

Find your TOCA clinic

Glendale • Phoenix • Scottsdale • Tempe