CochiseEye Tools On this page you will find many tools to help you. Check back
often as more tools are being developed and will be added when completed.
Request an Appointment Online!
You can use this form to request and appointment online and have one of our
staff call you back and setup the best day and time according to the
information you supply to us. Get started by clicking
HERE.
Notice
of Privacy Practices
This notice describes how medical information about you may be
used and disclosed and how you can get access to this information. View
more
by clicking HERE.
Our Financial Policy. We are committed to providing you with the best possible care,
and we are pleased to discuss our professional fees with you at any time.
Read More...
Tricare Patient Information Sheet. Tricare is and insurance used by the military. Tricare patients
fill out this info sheet. HERE
Patient Information Sheet. All new non-military patients need fill out this information
sheet. CLICK HERE
HIPAA Patient Consent Form. Our Notice of Privacy Practices provides information about how
we may use and disclose protected health information about you.
Read More...
CARE CREDIT - Patient Payment
Plans. Financing just the way you want it. Read
More...
Medical/Surgical/Family
History Questionnaire Please fill out this important
medical questionnaire and return it to the correct office location at least 2
days prior to your appointment.
Read More...
