Patient Info : Medical Forms
New Patient Forms
New patients, please select and complete the appropriate registration form and bring it to your first visit to Thunderbird Internal Medicine Summit Medical Group Arizona. Other Patient Forms
New patients, please select and complete the appropriate registration form and bring it to your first visit to Thunderbird Internal Medicine Summit Medical Group Arizona. Other Patient Forms
- New Patient Authorization to Obtain Records for Internal Medicine Provider (from another office)
- New Patient Authorization to Obtain Records for Specialty Provider (from another office)
- Established Patient Authorization to Obtain Records (from another office)
- Colonoscopy Packet
- Medical History and Medication
- Medical Record Release (to send your Thunderbird Internal Medicine Summit Medical Group Arizona records to another office)
- Notice of Privacy Practices
- Nondiscrimination Statement
- Sleep Study Questionnaire
Dr. Felix's medical knowledge partnered with her compassion makes her a credit to the medical profession. |