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What's New:

   

New Patient Information



Welcome to Kachina Family Practice. It is our intent that your experiences with us will be positive in every aspect. Below, we have listed information that we hope will smooth your initial visit with us.

SCHEDULING:
To schedule an appointment call 480-706-4100 and choose option #2. If you have health insurance, you will need your insurance card to be able to make an appointment.

REGISTRATION:
To register as a new patient with our practice, each patient will need to complete 3 forms: Registration Form, Financial Policy and Medical History Form. You may click on the appropriate form, download it and print it for completion prior to your first visit. We do not have the capability for fax or e-mail handling of these registration forms and ask that you bring them with you. Please arrive 15-20 minutes early to allow enough time for the registration process. You will need to bring your insurance card and completed registration forms. All minors must be accompanied by a parent on their first visit. Please bring the minor's immunization record to the first visit. Also bring any current medication in their original containers.

INSURANCE BILLING:
We will file claims with any Insurance Plans with which we are contracted. All co-pays are due at the time of service. If you have a high deductible plan, 50% of the bill will be due at the time of service. If you have coinsurance, 5% of the bill is due at the time of service. If we do not participate in your health plan or you have no health insurance plan, fees for our services are due at the time of service. Please see our Financial Policy for further information about our billing guidelines.





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16611 S 40th Street, Suite 120, Phoenix, Arizona 85048
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