PATIENT FORMS
e ask that you make available to us certain information so we may better understand and serve your treatment needs,
Download and fill in the forms, and either fax to us, (602) 992.8897, or bring them in; it will save you time at your first appointment. This will make it easier to communicate with you about your treatments.
Be sure to plan on arriving early if you choose this method. A different form is required for each adult and minor child being treated. The insurance form allows us to communicate with, and bill your insurance company.
Download and fill in these forms and fax them to our offices, or bring in before your first appointment.
Our list of services with valuable information:
Patient Information
Medical History
Medical Insurance Assignment
Patient Privacy Agreement
Be sure to download and read our PDFs on Pre and post-surgical procedures. Also, Dr. Goldenstein and his staff will give complete instructions during your visit.
Pre-Op preparation:
To aid in your surgery process and allow for the maximum success and comfort, follow the instructions on the PDF sheet below.
Post-Op recovery:
To aid in your recovery and comfort, follow the instructions on the PDF sheet below.
You’ll most likely receive post-surgery medication and will receive complete instructions. THIS IS A SAMPLE ONLY of the instructions you’ll receive.
If you need a PDF Reader, you can download one here:
