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Arizona Center for Family and Wellness Care offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Required:

New Patient Health History Form

Update Form

General Consent Form

Office Financial Policy

Optional:

Motor Vehicle Intake

Motor Vehicle Mechanism

Duties Under Duress

Workers Compensation Form


Member Wellness Registration - Optional

This  can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. Click Here to register online! The online newsletter sign-up is on the right. We look forward to making your experience with our office and website more interactive and rewarding!



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THIS ---->https://drweathersby.com/new-patient-center/online-forms.html

Office Hours

Day
Monday7am - 12pm2pm - 5pm
Tuesday8am - 11am2pm - 6pm
Wednesday7am - 12pm2pm - 5pm
ThursdayClosedClosed
Friday7am - 12pm2pm - 5pm
SaturdayClosedClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7am - 12pm 8am - 11am 7am - 12pm Closed 7am - 12pm Closed Closed
2pm - 5pm 2pm - 6pm 2pm - 5pm Closed 2pm - 5pm Closed Closed

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