Camelback Health Care Patient Forms
Save time before your appointment at Camelback Health Care. Print and complete the following Camelback Health Care patient forms from the comfort of your home then bring them with you to your appointment.
Patient Registration Child - For all new patients over 18 (Adults)
Patient Registration Adult - For all new patients under 18 (Children)
Medical Records Release - Authorization to release medical records
HIPAA Notice of Privacy Practices - How your medical information may be used and accessed
Patient Portal User Agreement - If your portal has expired
DepoProvera Consent
HIPAA Information Release
Patient Registration Adult - For all new patients under 18 (Children)
Medical Records Release - Authorization to release medical records
HIPAA Notice of Privacy Practices - How your medical information may be used and accessed
Patient Portal User Agreement - If your portal has expired
DepoProvera Consent
HIPAA Information Release
If you have any questions about any of the Camelback Health Care patient forms above please contact us at (602)368-5861.
Camelback Health Care strives to provide as much accessibility to it’s new and existing patients. Going to the doctor’s office should be an easy and pleasurable experience. We care about your comfort in our office and provide Camelback Health Care Patient Forms in hopes that your first visit is as easy as your future care visits.
