logoUpdegraff Clinic

Allergy and Dermatology, PC

Updegraff Clinic is pleased to accept most major insurance plans. If you have a question about your benefits, please give us a call at (623) 933-3107 or (623) 975-4244 and one of our knowledgeable staff members will be glad to assist you.

NEW PATIENT FORMS

Feel free to print these forms and fill them out prior to your appointment. If you choose not to, our front office administrators will provide copies for you to complete while sitting in our waiting room.

Patient Medical History Form
Patient Registration Form
Medication List
Assignment of Benefits Form

FOR YOUR REFERENCE

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