New Patients & Forms

To save you time at your first appointment, we encourage you to download our new patient forms prior to your visit. Once your forms are downloaded, you can type the information in and email it directly to us or fill it in by hand and fax it to (602) 923-8502. If you choose to fax or email the froms, we will have you sign them at our office just prior to your appointment.

 

Please make sure you also have the following items with you:

 

1. Drivers License or government-issued picture ID

2. Proof of Insurance

3. Referring physician order (referral if applicable)

4. Any x-rays or test results related to your medical condition (if possible)

New Patients Forms

Existing Patient Forms

Patient Information

Records Release

Patient History

Our Financial Policy

PAYMENT INFORMATION

We accept most major insurance plans, credit cards and workman’s compensation. Deductible, co-pays, co-insurance, and/or non-covered services are due at time of service. We accept cash, checks, American Express, Discover, Visa and Mastercard.

© 2016 | Steingart Orthopedics, P.C. | 4045 East Bell Road, Suite 105 • Phoenix, AZ 85032 | 602.923.8500 Phone | 602.923.8502 Fax