Direct Appointment Scheduling: (480) 225-2343
Locations in Scottsdale and Mesa

Patient Form Policy

FMLA, STD, and Work Release Form

Fax or e-mail or hand deliver any Family Medical Leave Act (FMLA), Short term disability (STD), or Work Release form to our office for completion and signature. Call or e-mail to confirm receipt of form. If we do not call or e-mail confirmation assume we did not receive form. Allow 10 business days for completion. Include $35 form fee payment with form.

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Last Modified: March 29, 2011