West Horizon Medical Center

West Horizon Medical Center

We strive to keep you healthy through preventive care

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Information

Most of the necessary forms you need are here. You can click on any form and it will open as a PDF file. You can print them, fill the necessary forms and bring them to the clinic

You can save time by downloading these forms at home or office. This will help in completing these forms at your leisure

If you need help, call (520) 622-7675 and our front office will help you identifiy the necessary form
New Patients
  • New Patient Packet

Existing Patients
  • Medical Records Release Form (From Dr. Bandlamuri to other Physicians)
  • Change of Address / Insurance Form

Medical Records
  • Charges for Medical Records Form

Patient Portal Policy
  • Patient Portal Policy and Procedures

Advance Directives or Health Care Directives
  • Life Care Planning Packet from the Office of the Attorney General of Arizona

© 2012 West Horizon Medical Center