Where Experience and Technology Meet
Call Today: 480.614.6300
Important Patient Forms and Resources for Our Cancer Treatment Offices in Arizona
General Forms
Please feel free to download and fill out any applicable forms prior to your appointment.
HIPPA Compliance
Medical Release Form
Patient Health Questionnaire (Prostate)
Patient Health Questionnaire
Authorization for the Release of Information
Urinary Symptoms Variable Score
Illness and Hospitalization Living Will Form
Medication History Retrieval
Patient Information Sheet
Resources
Information Request Form
Please enter your name, email address and phone number where requested, and write a brief specific inquiry where designated. Before clicking the “SEND” button, please check the box to the left of “I’m not a robot” to verify that this email is coming from you rather than from an unauthorized email user.
Information Request Form
Insurances Accepted
Insurances Southwest Oncology Centers participates with:
- Medicare
- Railroad Medicare
- Admar
- Aetna
- AZ Foundation for Medical Care
- AHCCCS
- APIPA
- CARE 1st
- Health Choice
- Mercy Care
- AZ Medical Network
- Blue Cross & Blue Shield
- Beech Street
- Benesight
- CCN
- Cigna/Connecticut GeneralEBMS
- EBMS
- First Health
- Health Net
- Humana
- Lifepoint
- Medica
- MIHS/MMCS
- Multiplan
- Mutual of Omaha
- One Health
- Pacificare
- Private Health Care Systems (PHCS)
- Preferred Care
- Principal
- Prudential
- Lake Managed Care
- Tricare/Triwest
- United Healthcare
If you do not see your insurance, please contact us as we may accept it. The list is only of the most common providers; however, we take many more.
If you have any questions, please call the Scottsdale office at (480) 614-6300.