Individual Registration Forms for Mayo Clinic in Arizona
After printing and completing the appropriate registration forms, attach a copy of the back and front of your insurance card(s) to the forms and fax it to Mayo Clinic within 48 hours of your initial contact to help expedite your schedule in a short time frame. Mayo Clinic cannot accept forms via email.
The forms below can be opened with Adobe Acrobat Reader.
- Information for Your Physician
- Patient Registration Information for Executive Health
- Standard Protocol & Optional Services
- Fees and Insurance
- Accommodations Guide
- General Information
- Return Fax Cover Sheet
- Privacy Practices Notice
- Authorization to Disclose Protected Health Information by Mayo Clinic
- Electronic Mail Authorization