The New Patient Health Record needs to be completed, printed and brought to your first appointment to be discussed with your physician.  It contains personal information that will be between only you and your doctor.

Family Medicine of Scottsdale in Scottsdale, AZ schedules all new patients a longer first visit to establish care with their doctor in order for them to get the best care possible. No procedures or physicals are done on this visit. New patient paperwork is due before your first appointment.

NEW PATIENT DEMOGRAPHICS

The New Patient Demographics needs to be completed, and in our office before your first appointment as it provides  us the necessary information to start a chart for you.

​​Office Hours

Family Medicine of Scottsdale

Jessica T Ellsworth MD 

HEALTH RECORD

FINANCIAL CONSENT

HIPAA

We have provided notice of HIPAA privacy practices on this website for easy access by our patients.   For information regarding how this privacy law affects you we have provided a link below to the HHS website to answer any questions you may have. 

NEW PATIENT FORMS

All patients are to be aware of our office's financial policy, services rendered makes the patient financially responsible for charges incurred.

18801 N Thompson Peak Parkway, Suite 110
Scottsdale, AZ 85255
phone     480.471.5702 
fax             480.626.1916