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If you do not have Adobe® Reader®, you can download it for free by clicking here. GAD-7 (Generalized Anxiety Disorder Scale).pdf Patient Formsįor convenience, office forms may be available to complete prior to your appointment and save time.ĪUDIT (Alcohol Use Disorders Identification Test).pdf I will help in any way I can to assist you in handling claims. However, payment is the patient's responsibility. If I am a participating provider of your insurance company, I will bill them. All you have to do is click to copy, right-click for copy options, or drag-and-drop the GIF into your favorite apps. I accept cash, checks, MasterCard, Visa and American Express for your convenience. PopKey lets you search for the perfect GIF, from reactions to trending, and even the content from your favorite artists, PopKey has got you covered. Therefore, I request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. I make every effort to decrease the cost of your medical care. My office accepts the following methods of payment for co-payments, deductibles and services that are not covered by insurance: PLEASE DIAL 911 IF YOU BELIEVE YOU NEED IMMEDIATE EMERGENCY CARE ! Payment NOTE: It is not possible to schedule emergency appointments online. In addition, you may also call the helpline at 602-254-HELP (4357), If I will be unavailable for an extended period of time (i,e, vacation, conference, training, etc.), I will provide you with the name of a colleague to contact should it become necessary. If you are unable to reach me and feel that you cannot wait for me to return your call, contact your family physician or the nearest emergency room and ask for the counselor/therapist/psychiatrist on-call. I monitor my voicemail frequently and I will do my best to return the call ASAP. If an emergency arises after office hours, please contact my cell phone at 48 and leave a voicemail. I do not provide 24-hour emergency coverage for patients. Please extend us this courtesy so that other patients may be seen. If you are unable to keep your appointment, we ask that you provide us with 48-hour notice. We understand that your schedule may change and that emergencies arise. To schedule an appointment please call us at 48. You may schedule an appointment with a patient care coordinator. I AM CURRENTLY NOT ACCEPTING NEW PATIENTS.
Telehealth/phone sessions available upon request. If you are a new patient, information may be sent to my office ahead of your appointment in an effort to streamline the check-in process at Office Hours When you check-in for your appointment, we will need to copy your insurance card(s) in order to bill your insurance company.
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We will be contacting you a few days prior to your appointment to confirm the appointment date and time, pre-register your demographic information and remind you to have a driver available to take you home after the appointment if needed. If you are a new patient, information is being sent to you in an effort to streamline the check-in process and answer any questions you may have regarding your visit. We look forward to seeing you on your scheduled appointment date. I attended Arizona State University as an undergrad and completed my graduate work at the University of San Francisco. I have been in private practice in the Scottsdale area for 20 years.
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