← Back to paperworkTwo pages. Bring it filled in and we will have you seen faster.
Before your first visit
True Precision Medical · Fill this in at home and bring it with you.
Bring with you
- Insurance card
- Photo ID
- Your medications, or a photo of the bottles
- Any imaging or reports you have
Your medications
Name, dose, and how often. Include anything over the counter.
| Medication | Dose | How often |
|---|---|---|
Questions for your provider
The ones you meant to ask and forget in the room.
What the forms will ask you to acknowledge
You will confirm you have received these. Ask us for a copy of any of them at any time.
- Notice of Privacy Practices
- How your health information is used, and your rights as a patient
- Financial Policies
- How billing, insurance and payment work
- Code of Conduct
- What you can expect from us, and what we ask of you
- Use of Media
- How images and recordings may be used
Where to go
Phoenix · 5133 N Central Ave, #101, Phoenix, AZ 85012 · (480) 616 0356
Peoria · 13128 N. 94th Dr., Suite 100, Peoria, AZ 85381 · (480) 616-0356
Prefer to do this online? Visit trueprecisionmedical.com/new-patient — it takes about five minutes on a phone.