480-967-6888
Arizona Psychiatry& Neuroscience Institute

Patient forms

Complete your packet before your appointment.

Choose the new-patient or returning-patient packet, then download it in English or Spanish. Complete and email it to the office at least three days before your appointment. If it is not received on time, your appointment may need to be rescheduled.

Intake process

  1. Step 1

    Request an appointment

    Call the office to ask about availability and scheduling.

  2. Step 2

    Download and print the packet

    Choose the packet that applies to your visit, select English or Spanish, and print all pages.

  3. Step 3

    Complete and sign the forms

    Fill out each applicable section and sign the required pages.

  4. Step 4

    Email the packet three days early

    Scan the completed packet and email it to the office at least three days before your appointment.

Need immediate help?

This website is not monitored for emergencies. If you or someone else is in immediate danger, call 911. For mental health crisis support in the United States, call or text 988.