Arizona Pain Treatment Center  
Download Forms

Patient Forms Download

For your convenience, we offer our patients the option of completing these "fillable" forms that can be completed on your local computer and in the privacy of your own environment. (Must have MicroSoft Word).

Print the COMPLETED forms and bring them with you to our office on the date of your scheduled appointment. For New Patients, please fill out and bring in the Patient Billing Information Form, Patient Information Sheet and Consent to Treat forms.

New Patient Forms
Medical Records Release from APTC
Medical Records Release to APTC
Privacy Practices
AZPTC Accepted Insurances
AZPTC Referral Pad

 

 

 

 


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