Scott M. Gulinson, MD, FACOG Call Now 623.412.2229

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Patients forms

Before Your First Visit

Dear Patient, please print these forms out prior to your first visit with us. You may fill them in and either mail/fax to us or carry themĀ  with you to your office visit. We appreciate your time and cooperation.



Patient Care Contract



HIPAA Privacy Practices Notice of Receipt



Ultrasound Consent/contract



Cosmetic Skin Care Survey



Medvoice Instructions



Insurance Coverage and Cancelation Policies



Patient Demographic/New Patient Information Summary



Notice of Privacy Practices Packet