These are the forms we use when you start treatment at our clinic. Please read them and fill them out as best you can.
You can email them to om@swintegrativemedicine.com
Arbitration Form *PLEASE NOTE* This Form Must Be In Color. No Black and White Copy.
If you need to get records from another doctor, fill out this document and sign it. You can then deliver it to that doctor or send it to use to collect the records.
4045 East Bell Road, Suite 107
Phoenix, AZ 85032
4045 East Bell Road
Phoenix, AZ 85032
480.451.5407
© 2014 Southwest Integrative Medicine. All Rights Reserved.