New Patient Information

If you wish to become a patient with Bio Family Clinic.
Please download one of the forms below to print out and fill out, this will help speed up your appointment process.
Please DO NOT FORGET to bring the filled out form packet with you to your appointment.

Bio Clinic Internal Medicine New Patient Forms

New Patient Forms in English

New Patient Forms in Spanish

After filling out the forms please request your appointment by calling us at (928) 342-6500.

New Patient Referral Forms

Bio Family Clinic Cardiology Referral Form

Bio Family Clinic Orthopedic Referral Form

Bio Family Clinic Neurology Referral Form

Bio Family Clinic Podiatry Referral Form

Bio Family Clinic Psychiatry Referral Form

Bio Family Clinic Rheumatology Referral Form

Bio Family Clinic Allergy/Immunology Referral Form

Bio Family Clinic General Surgeon Referral Form

Bio Family Clinic Vein Clinic Referral Form

Bio Family Clinic Hemorrhoid Clinic Referral Form

Bio Family Clinic Endocrinology Referral Form