New patients will need to fill out our intake form which will need to be submitted prior to scheduling their appointment. Our intake form can be filled out on our website or, if you do not have the resources to fill it out online, we can email, mail or print out the paperwork for you. Once the intake form is received, the doctor reviews the paperwork, and any prior medical records and/or imaging is obtained, our office will be in contact to schedule your consultation
We have two office locations:
Avondale: On the corner of Osborn and Dysart road in the Coronado Professional Plaza, Suite H131. The entrance is on the opposite side of Zell corp.
Surprise: The cross streets are Reems road just north of Greenway road. we are located on the east side of Reems, just north of the CVS pharmacy.
As insurances frequently change, it is best to check your insurance card as sometimes it will mention if a referral is needed. If you are unsure, you may call our office as we can check your benefits and let you know if a referral will be required.
Please bring your drivers license, insurance card, co-payment and any medical records that have not already been faxed. You must also bring all of you pain medications in their original bottles. MRIs and CTs will be very helpful and likely reduce number of appointments needed.
Active Life’s policy regarding the process of prescribing scheduled medications (narcotics) involves appropriate due diligence. Certain requirements must be met during the initial consultation that will verify if you are an appropriate patient for these medications. There are certain risks that will be explained to you. Many medications just mask real pain and can actually create more pain if discontinued. Therein lies a viscous cycle. If the patient is deemed to be appropriate through testing and evaluation, then a written note from the patient’s primary care physician may need to be requested if not specified on referral form. In addition, an opioid agreement will need to be signed, a urine drug screen will be performed and a thorough medication evaluation and monitoring program will be initiated. Active Life WILL NOT prescribe a narcotic regimen until the appropriate investigation is complete. Please see our Active Life Policy by clicking here.
No, all patients must follow our new patient process and schedule their appointment.
Yes as long as they are listed on the HIPAA form that you filled out with your patient paperwork. The family member must show proper ID in order to pick up the prescription.
ToWe do accept self-pay patients. We accept all forms of payment which include credit card (including Care Credit), checks, and cash.
- APIPA (AHCCCS)
- Arizona Foundation for Medical Care
- Blue Cross Blue Shield
- Golden Rule
- Great West
- Medicaid – AHCCCS (APIPA)
- Multiplan/ Private Healthcare Systems (PHCS) / Admar
- Personal Injury Liens
- United Healthcare
- Worker’s Compensation (AZ)
- Arizona Priority Care
- Gallager Bassett
- Meritain Health
- Southwest Administrators
- Zenith Insurance
- AAA Insurance