Patients
Interested in Becoming a Patient with Atlas Medical?
Complete the New Patient form below to get started! Send it back to our team, and we’ll take it from there. We’ll reach out if we need any additional details or have questions.
Arizona Primary Care Patient Forms
Simply open the PDF file, complete the form, and email or fax it back to our team.
Arizona Dermatology Patient Forms
Dermatology patients must also be patients with Atlas Medical Primary Care.
Once Completed,
Send Us Your Documents!
Phoenix Phone: 480-868-9650
Tucson Phone: 520-468-7988
Fax: 480-834-3606
Email: Intake@AtlasMedicalCare.com
Nebraska Phone: 402-509-2555
Nebraska Fax: 402-509-2600
Arizona Podiatry Patient Forms
Podiatry patients do not have to be patients with Atlas Medical Primary Care.
Nebraska Primary Care Patient Forms
Simply open the PDF file, complete the form, and email or fax it back to our team.