Patient Forms
Locations
Avondale Office 13065 W McDowell Road, Suite C-130 Avondale, AZ 85392 Hours: Monday-Friday 8a.m. to 5p.m, Saturday 8 a.m. to 12 p.m
Laveen Office 7205 South 51st.Ave, Suite 102 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-Friday 8 a.m. to 5 p.m.
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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 (ALL PLANS BUT LOCAL PLUS)
· 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.
Community Resources:
2-1-1 Arizona | 211 | http://arizona.myresourcedirectory.com | Multiple resources |
Care1st Avondale Resource Center | 623-333-2703 | http://www.avondaleaz.gov | Multiple resources |
Wildfire | 602-604-0640 | http://www.wildfireaz.org | Multiple resources |
Maricopa County Human Services | 602-506-5911 | https://www.maricopa.gov/5270/Human-Services | Multiple resources |
Chicanos Por La Causa | 602-257-0700 | http://www.cplc.org | Multiple resources |
Hope Women’s Center | 602-715-0999 | http://hopewomenscenter.org | Diapers |
Hope Women’s Center | 623-875-4549 | http://hopewomenscenter.org | Diapers |
Association of Arizona Food Banks | 602-528-3434 | http://www.azfoodbanks.org | Food Resources |
Avondale Food and Clothing Bank | 623-932-9135 | http://affcb.org | Food Resources (Baby Box) |
St. Mary’s Food Bank | 602-242-3663 | http://www.firstfoodbank.org | Food Resources |
New Life Center | 623-932-4404 | https://www.newlifectr.org/ | Domestic Violence |
De Colores Shelter | 602-269-1515 | http://www.cplc.org | Domestic Violence |
Community Action Program | 623-222-1000 | https://www.surpriseaz.gov/3549/Community-Action-Program-CAP | Utilities Assistance |
Community Action Program | 623-936-2760 | http://www.tollesonaz.org | Utilities Assistance |
AZ Dept. of Economic Security | https://des.az.gov/services/basic-needs/community-action-agencies | Utilities Assistance | |
AZ Dept. of Housing | 602 506-2000 | http://www.azhousing.gov | Housing Assistance |
Phoenix Rescue Mission | 602-688-6211 | https://phoenixrescuemission.org/ | Homelessness |