Download and fill out forms, find insurance information, review our payment policies and use our online health and intake tools.
If you are a new patient with Sunshine Health Care Center, please print the following forms that are relevent to you or your dependent and complete them before your first visit. If you need to fill out your forms on the day of your visit, please allow a full hour before your scheduled appointment. If you have questions about which forms you should bring, please call us at 623-266-1722.
New Patient Intake Forms
- Medical History and Intake Form Adult patients, fill out online before your first visit.
- Pediatric Intake Form Print, fill out and bring to child’s first pediatric visit.
- Privacy Disclaimer Form Print, fill out and bring to first visit.
- Pain Management Intake Form Fill out for Pain Management treatment.
Billing and Insurance
Sunshine Health Care Center is contracted with several Insurance Carriers. We offer a variety of services that are covered by Insurance. Our Billing Department will be happy to file your in-network insurance claims as a courtesy to you.
- Billing and Insurance Intake Form New patients or if your billing status changes.
- Medicare Advance Beneficiary Form Fill out only if you plan on using Medicare for services.
- Naturopathic Consent Form Print, fill out and bring to first visit.
- Parental Informed Consent Form Print, fill out and bring to child’s first visit.
- Communication Consent Form Print, fill out and bring to first visit.
- Advance Directive Form Durable power of attorney for medical care.
- Chelation Therapy Consent Form New Chelation Therapy patients only.
Miscellaneous Forms and Tools
- Weekly Diet Diary Please use this form per doctor’s instructions.
- Online Weight Loss Calculators Use these calculators to calculate BMI and more.
- Burns Depression Checklist Take this short quiz to gauge your depression level.
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