New Patient Forms

Complete Forms Online

Instructions:

You can now complete the New Patient Forms online! When done you can print the completed forms, download them or have them emailed to you.

Click the button below to complete the form using PDFfiller.

Complete Forms At Home

Instructions:

To complete the forms at home simply download, print, and fill them out. When completed, either Email [lasertechpainrelief@gmail.com] or Fax [480-609-7447] them to us prior to your initial FREE phone consultation.