Personal care for a personal town.
Monday – Friday: 8:00 AM - 4:30 PM Saturday and Sunday: Closed Closed on Major Holidays
If patient lives at two different addresses, Please provide second address.
I have read and understand the patient policies and agree to abide by its guidelines. I give permission to Pediatrics of Queen Creek to care for and treat my child. I understand my child cannot be treated without my presence unless I have given written consent to an adult OVER THE AGE OF 18 to seek such care or treatment.
Consent to voice messages regarding patient test results (Ex: "We are calling to inform you that your recent lab results came back negative.") No check here means that if you are not available to speak with, you must return the office's call in order to recieve your results.
In my absence the following adults OVER THE AGE OF 18 may seek medical attention for my minor child:
Our practice is committed to providing the best treatment for our patients. Our prices are representative of the usual and customary charges for our area. Thank-you for understanding our patient payment policies. Please inform us if you have any questions or concerns.
22707 S Ellsworth Rd, Suite H101 Queen Creek, AZ. 85142 (near Ellsworth and Ocotillo Rds)
Fax: (480) 792-9206
Monday – Friday: 8:00 AM - 4:30 PM Saturday and Sunday: Closed
Closed on Major Holidays
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