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Print WebView Enrollment Form
From this page you can print out the forms you will need to enroll yourself or your entire family in WebView.
You can select forms as DOC files which can be opened by a word processor,
or as PDF files which can be opened by Adobe Reader. You can fax the completed forms to (480) 706-4100.
Or you can mail or deliver in person to our office:
Kachina Family Practice
16611 S 40th Street
Suite 120
Phoenix, Arizona 85048
Enroll yourself (only), pay $75 for one year. (DOC)(PDF)
Enroll yourself and your family, pay $125 for one year. (DOC)(PDF)
Web site and all contents Copyright Kachina Family Practice, P.A.,
16611 S 40th Street, Suite 120, Phoenix, Arizona 85048
All rights reserved.
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