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Practice Name

East Valley Family Healthcare

Primary Location
3755 S. Gilbert Road, Ste. 109
Gilbert, AZ 85297
Phone: 480-821-9388
Fax: 480-821-6326

Office Hours

DayOpenClosed
Monday8:00 AM5:30 PM
Tuesday8:00 AM7:00 PM
Wednesday8:00 AM5:30 PM
Thursday8:00 AM7:00 PM
Friday8:00 AM5:30 PM
Saturday8:00 AM12:00 PM
SundayPA by Appt
Main Content

East Valley Family Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!  Please fill out in BLACK ink.  Thank you!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Online Forms

East Valley Family Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Download Online Forms Here

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Request An Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Read About Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

East Valley Family Healthcare
3755 S. Gilbert Road, Ste. 109
Gilbert, AZ 85297
Get Directions
 
  • Phone: 480-821-9388
  • Fax: 480-821-6326
  • Email Us

Office Hours

DayOpenClosed
Monday8:00 AM5:30 PM
Tuesday8:00 AM7:00 PM
Wednesday8:00 AM5:30 PM
Thursday8:00 AM7:00 PM
Friday8:00 AM5:30 PM
Saturday8:00 AM12:00 PM
SundayPA by Appt
Newsletter

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