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Address

1489 S Higley Rd Suite 101
Gilbert, AZ 85296

NE Corner of Higley & Ray Rd
Ph 480-457-8800 Fax 480-457-8885

Email: completecare@qwest.net

Office Hours

Monday – Friday: 8:30a.m. – 5 p.m.

with lunch from 12-1

Records Release Form – Fill out and bring to Dr’s office at time of appt or fill out at Dr’s office (Needed to obtain medical records from other physicians offices)

*Registration (All New patients to complete)
*Registration forms are to be filled out by all new patients not previously seen by the Doctor prior to the office appt. Once this form is completed please complete the office visit form (Listed below) that is applicable to your visit.

Office Visit Forms listed below:

(One of these forms must be completed for each visit with the exception of routine Well Child Checks)

New Problem (Such as Cough/Cold, Ear Ache, Fever, Urinary problems, Stomach problems, etc.. pretty much anything that is a new symptom for which you need to see the Dr.)

Existing “Chronic” Problem (Such as Diabetes, Hypertension, Cholesterol, etc.. anything that you have been seen for before that requires ongoing medication and management)

Existing Problem

Yearly Physical Exam

Sports Physical – Must bring completed school form to Dr’s office with all questions answered prior to physical exam being performed.

Well Child Visit – Please bring shot record