Call (928) 750-6410
Complete a New Patient Packet from the comfort of home using your smart phone, tablet or computer.
We'll be happy to speak with you to schedule your visit.
Check-in at our reception desk 10 minutes prior to your start time so we can begin your appointment right on schedule.
Once we receive your new patient packet and verified your health insurance coverage or payment plan, we will help you schedule your first visit.
Be prepared to upload your insurance cards, photo ID, medication list and other documents.
Click "Start New Patient Packet" below.
Click the tab below to download and print a paper copy of our
New Patient Packet
New Patient Packet (pdf)
DownloadIf you do not see your health insurance plan listed here, please give us a call. Often times, insurance companies are subsidiaries of larger plans. We'd be happy to help.
Our staff will reach out by phone or text in an attempt to confirm clinic appointments. Patients are ultimately responsible for confirming their appointments. Unconfirmed appointments will be given to the next patient on our waiting list. We require a 24-hour notice to cancel or reschedule an appointment. Less than a 24-hour cancellation is subject to a $50 cancellation fee. Two consecutive last-minute cancellations, missed or rescheduled appointments will result in a discharge from clinic services.
Patients who are late to their appointment may be asked to reschedule and the appointment will be considered a missed appointment.
It is a patient's responsibility to notify the clinic by calling (928) 750-6410 to request a refill of a medication. It is advised that patients notify the clinic well in advance of running out of a medication to ensure our medical provider can refill the medication. We unfortunately cannot guarantee a medication can be refilled quickly if it is requested at the last minute. Medication refills may require an office visit to ensure medication adherence and safety. Patients who missed their last scheduled appointment, or cancelled and did not reschedule, will be asked to return to the clinic for a medical appointment before their medication will refilled.
Everyone who visits our clinic will be treated with kindness, dignity, and respect. Offensive comments about race, religion, gender, sexual orientation, or personal traits are not acceptable. All patients and visitors are expected to use respectful, appropriate language and behavior in person as well as on the phone. Physical or verbal threats or assaults, suggestive or explicit words, foul language, phrases, gestures, or actions will not be tolerated. Failure of patients to respect our code of conduct will result in a discharge from clinic services. Visitors who do not meet these expectations will be respectfully asked to leave and not return.
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.
Amistad Clinic patients can register to use Patient Ally to access their medical records including their clinical visit notes, lab orders, lab results, medication lists and to see their future scheduled visits.
Here are the steps:
Call us directly and we'll be happy to walk you through this process.
Having technical problems with Patient Ally? Call 1-888-PHR-4ALL (747-4255). The hours for Patient Ally technical support are Monday through Friday, 8 am -7 pm CST.
Click above to access https://www.patientally.com/login
The elements of our logo design represent our commitment to be a clinic that embraces diversity within our community and that all people, regardless of their background, will be warmly welcomed and cared for in our practice.
Copyright © 2018 The Amistad Clinic - All Rights Reserved.
Phone (928) 750-6410 | Fax (928) 750-6433