Patient Forms


Avondale Office 13065 W McDowell Road, Suite C-130 Avondale, AZ 85392 Hours: Monday-Thursday 7 p.m., Friday 8 5 p.m., Saturday 8 a.m. to 12 p.m
Laveen Office 5030 W, Baseline Road, Suite 133 Laveen, AZ 85339 Hours: Monday-Friday 8 a.m. to 5 p.m.
Phoenix Office 4700 N. 51st Avenue, Suite 4 Phoenix, AZ 85031 Hours: Monday-Thursday 7 a.m. to 5 p.m. Friday 8 a.m. to 5 p.m.

Accepted Insurance Plans:

·         All AHCCCS Plans

·         Aetna

·         Aetna Whole Health/Aetna Leap/Banner-Aetna

·         Ambetter (AZ Complete Care)

·         Ameriben

·         AZ Foundation (AZFMC)

·         Banner

·         BCBS

·         Beech Street

·         Cigna

·         CorVell

·         Coventry/First Health

·         EverMed

·         Galaxy

·         GEHA

·         Gilsbar

·         Golden Rule

·         HealthNet

·         Humana

·         Meritain

·         PHCS/Multiplan

·         Provider Network of America

·         Tricare

·         Three Rivers

·         United HealthCare

·         UMR

·         USA Managed Health

·         Zelis Healthcare


Additional Details:


This list is not comprehensive as there are many insurance plans and sub-plans available.

We recommend that you check with your insurance company prior to your appointment to confirm your benefits, immunization coverage, and any specifics regarding pediatric care. Please remember that verification of benefits is not a guarantee of payment, and you are ultimately responsible for payment of all services that are not covered by your insurance plan once the claim has been processed. If you have any additional questions, please feel free to contact our office at 623-846-7575.


* For newborns, don’t forget to add your new baby to your policy within 30 days of birth; otherwise, services will not be covered by your plan.