Forms & Records

For the convenience of our patients
we have posted our patient forms on-line.

New patients can save time during their first appointment by completing the following forms prior to their visit. 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 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.


Medical Records Contact

Phone: 602-277-6211 opt. 4
Fax: 602-277-1074

Worker's Compensation Injury Forms


Industrial Support Contact

TOCA’s Industrial Support Specialists will be your primary contact to schedule industrial appointments for ALL TOCA Physicians.

Phone: 602-512-8409
Fax: 602-553-4161

Ready to schedule your appointment?

Call our main line at 602-277-6211, or find other phone numbers on our Contact Us page.
Find your physician’s e-mail address and other contact info on the Physician Contact List.
Current patient? Use the Patient Portal to schedule your next appointment.

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!