Patient Forms


Patient Forms

Welcome to Desert Wells Family Medicine!

Thank you for completing your forms ahead of time. When you arrive for your appointment, please give your completed forms to the receptionist.

Adult Patient Packet

Pediatric Patient Packet

Patient Information Form

Patient Sick/Well/Physical Form

Payment Policy & Phone Consent

Privacy Policy

Desert Wells Family Medicine
20715 E Ocotillo Road, Suite 102
Queen Creek, AZ 85142
Phone: 480-877-0899
Fax: 480-987-0940
Office Hours

Get in touch