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Patient Form at Centra Internal Medicine in Arizona
Please complete the Patient Form at Centra Internal Medicine to streamline your visit and ensure we provide the best care possible.
Consent to Obtain Medication History
Start with Consent to Retrieve Medication History!
No Show / Late Cancellation Policy
Understand Our No Show / Late Cancellation Guidelines!
New Patient Intake Form
Fill Out the New Patient Intake Form to Get Started!
Sun City, AZ
- 13000 N. 103rd Avenue Suite 60, Sun City, AZ 85351
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Prescott, AZ
- 1003 Division Street Suite 4, Prescott, AZ 86301
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Phoenix, AZ
- 6036 North 19th Avenue Suite 502, Phoenix, AZ 85015
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Buckeye, AZ
- 23480 N Sundance Pkwy W, Suite 101B, Buckeye, AZ 85326
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Directions to Nearest Location
*In case of a life threatening emergency, immediately call 911.
**For any medical procedures, patients may respond to treatment differently, each patients results may vary.
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