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Existing patients may fill out this form to Request An Appointment. A member of our staff will contact you within business hours to confirm a date and time for an appointment. We will then discuss medical information in a preliminary phone call.

Insurance, Photo ID, and Deductibles

At the time of your visit, we will also need to make copies of your insurance card(s) and photo ID. Also, be prepared to pay any copay or deductible. Payment is the patient’s responsibility. Co-payment deductibles will be due at the time of service. We will help you in any way we can in handling claims.

Get Started:

A patient information form, including medical history and medications list, must be completed prior to your appointment at Foothills Nephrology. To reduce waiting time during your visit, please download and print the patient form below.

Patient Form