If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Gregory Loo, DPM Board Certified Podiatrist and Surgeon

New Patient Forms

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf downloadPatient Demographic Form

pdf downloadNew Patient Forms (Spanish)

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office (480) 213-3011. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Insurance we accept

  • Aetna
    • Aetna Banner
    • Open Access
    • Open Access plus
    • PPO
    • HMO
    • Choice
    • Choice Plus
    • Medicare Advantage PPO/HMO
  • Arizona Foundation
  • Assurant Health
  • Banner Health Network
  • BCBS Advantage
  • Blue Cross Blue Shield
    • Anthem
    • Independence
    • Federal
    • PPO
  • Cigna
    • Open Access
    • Open Access Plus
  • Champva
  • Coventry
  • First Health
  • GEHA
  • Ghi-Emblem Health
  • Golden Rule
  • Great West
  • Industrial Injuries
  • Medicare
  • Meritain
  • Multiplan
  • Triwest
  • Tricare
  • United Health Care
    • Choice
    • Choice Plus
    • United Medical Resource
    • Medicare Advantage PPO
  • UMR
Connect with us

our recent articles