Patient Forms

New Patients Forms Below

MISC.

Contact Info

Consents and Disclosures

Pre-Visit Forms

Forms we need to be completed before your visit!

I need to...

Make your information request online

We are with you every step of the way!  Use this section to make medical records requests...easy and fast!

I need to send documents...

Click the Green Circle below upload documents to ClearPath Family Healthcare 

Need help?

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Frequently Asked Questions

Upload Records

Our Location

7725 North 43rd Ave Suite 720 Phoenix, AZ 85051

Located on the Second Floor, of the American Medical Plaza

Elevators on the East and West of the Building

Contact Us

Call Us

Secure Fax

(623) 207.5405

Email Us

Patient Portal

If you believe you are in need of emergency services, then please dial 911

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