Patient Forms

Common Requests

Requesting an appointment

Make an Appointment Online
or Call for an Appointment at (480) 483-9011. If you are a new patient, please have your insurance card handy when you call.

Canceling an appointment

If you need to cancel your appointment, we ask that give notice 24 hours before your scheduled appointment time.  We charge a $70 fee for no-shows and cancellations without 24-hour notice.

Questions about your bill

Most billing questions are best handled by your insurance company.  If you have already spoken to your insurance company about your specific question, please call our billing office at (480) 998-7604.

Paying your bill

To make a payment over the phone, please call our billing office at (480) 998-7604.

We accept Visa, MasterCard, and Discover and American Express

Transferring records to our office

Use Archtrieval to request records for another office to come our

Requesting medical records

Please download and complete the release form below, and stat what specific records you need. Fax the release directly to (480) 483-2803.

Contacting Dr. Spieldoch

Please call our office at (480) 483-9011. If you are calling after hours, your call will be answered by a 24 hour triage service, and Dr. Spieldoch will be notified of any urgent matters. We ask that you reserve after hours calls for truly urgent matters.