Forms and Policies at Arizona Pediatrics




Patient Forms

Are You A New Patient?

Please download and complete a packet of forms and bring them to your first visit.

You may download and print patient registration forms used for new patients and change of information before coming to our office. Completing these forms prior to your visit will expedit patient registration. If you are a new patient click here to download a packet of forms.

If you are a returning patient and need to update your home address or insurance information you can do so by filling out a Patient Information Form. To download the form click here . Bring it with you on your next visit and we will gladly update your records

You will need Adobe Reader to view the forms. If you do not have Adobe Reader you may download it by clicking on the Adobe Reader icon Adobe Reader

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Arizona Pediatrics Policies

You are welcome to call us with questions regarding the health of your child during regular office hours. Dr. Saucedo and or Dr.Antseliovich will return your phone calls either between patients, at lunch or at the end of the day. All messages are answered before the staff leaves the office. If your message is urgent, please let the front desk know, in order for us to respond immediately.

Mother and Her Child

Parents will have the opportunity to speak to a qualified staff member or doctor with their questions and concerns during office hours. Phone calls received after office hours will be returned by Dr.Saucedo or Dr.Antseliovich. Parents will have the opportunity to discuss their concerns with the physician who is familiar with their child’s health history.

We appreciate you calling 24 hours in advance if your child’s appointment needs to be cancelled or rescheduled. This allows us to use that appointment slot for another sick child.

Extra time is allotted for new patients and children with special health care needs.