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.

• Primary Care — New Patient Registration
• Podiatry and Neurology - New Patient Registration

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

Forms are in PDF format and can be viewed with Adobe Acrobat Reader . If you do not have this installed on your computer, you may download a free version from Adobe .

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