Welcome to the practice! We are so glad that you’ve chosen to become a part of the A to Z community.
In order to speed up your visit we have published our welcome forms online. Simply download the forms, fill them all out and send them to us. We accepte forms that have been scanned and sent via email to AZPCForms@gmail.com. We also accept faxed or physically dropped off forms (24 hour drop box on location). Please note: for legal reasons we cannot accept pictures of forms.
Once we have received your forms we will reach out to you via phone to schedule your appointment. This will help us create more paper-free visit during these COVID-19 times.
To confirm insurance coverage, please call your health insurance provider prior to filling out the forms.
Download all forms
Click Here to download and print all of the forms necessary for your first appointment.
Patient Info Sheet
This form provides primary information including insurance details, HIPAA authorization, and consent for billing. Click Here.
Policy and Procedures
Patients must be responsible for their financial oblications and keep their given appointments. Click Here.
Pain Management and Our Office
A to Z Primary Care is not a pain management clinic and they do not prescribe narcotic drug therapies for chronic pain management. Click Here.
List of Specialists
A listing of your current specialists, if any. Click Here.
A current disclosure of medical information including medications and brief past medical history. Click Here.
A best-knowledge disclosure of family medical conditions, history, and health maintenence. Click Here.
Authorization of release of confidential information to/from A to Z Primary Care. Click Here.