Avondale
Medical Center |
Buckeye
Medical Center
623-386-9111
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New Patient
Insurance Information
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Home
About
Care Providers
New Patient
– Insurance Information
Services
Contact
New Patient
Home
New Patient
We are currently accepting new patients!
Patient Forms
For new patient registration, please download, print and fill out the form provided below.
For Avondale Medical Center:
Avondale Medical Center English New Patient Packet
Avondale Medical Center Spanish New Patient Packet
For Buckeye Medical Center:
Buckeye Medical Center English New Patient Packet
Buckeye Medical Center Spanish New Patient Packet
Please bring the completed form with you to your scheduled appointment.
Appointments
To schedule an appointment, please contact our office during regular business hours:
Monday to Friday:
7AM – 5PM
Please bring the following to your appointment:
Insurance Card
Co-Pay
Co-Insurance
Deductible (if applicable)
New Patient Form or arrive 20 minutes early to fill out
Late Policy
If you need to cancel or reschedule an existing appointment please contact our office before 24 hours of your appointment.
If a non-cancelled appointment occurs, a $25 late fee will be charged to the patient.