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Patient Center - Westwind Integrated Health

Patient Center

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Patient registration and welcome information

Patient Registration

We are pleased to welcome you to our practice. Please take a few minutes to fill out the form listed below. If you have questions, we’ll be glad to help you. We look forward to working with you in maintaining your dental & medical health needs.

    Financial and insurance information for dental and medical care

    Financial Information

    Our team is committed to providing you with the highest level of care that’s affordable, no matter your budget. We partner with a number of insurances and offer special financing in some cases to help you get the treatment you need when you need it. Contact our office for more information about your specific treatment plan and financing options available to you.

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      I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.

      Multiple Valley Locations

      Our offices are conveniently located in multiple locations in Phoenix, so you can get in and out quickly and easily. We serve Apache Junction, Chandler, Glendale, Litchfield, Mesa, Surprise, Tolleson, North Mountain, Downtown, Maryvale, North Phoenix, South Mountain & Sunnyslope.