Forms

HEMORRHOID CENTER at NORTH SCOTTSDALE

You may find our North Scottsdale Hemorrhoid Center forms at THIS LINK.

To minimize your wait time, please fill out, print, and bring these forms with you to your appointment. If you are unable to do so, please arrive half an hour early at our North Scottsdale Hemorrhoid Center and you can fill them before your appointment. Please do not forget to bring your photo ID and insurance card(s) with you.

SCHEDULE AN APPOINTMENT

For an Appointment, Call us today:
(480) 240-7391 or (623) 242-2020

You can also request an appointment online by completing THIS FORM

We offer Same Day or Next Business Day office visits for those who need them.

OFFICE FORMS

You may complete and print our New Patient Forms by following this link.

You may also have a copy emailed to you, Please complete the form below and click send. Please check your spam folder if needed. Once completed, please bring the printed forms to your appointment with you along with your PHOTO ID and INSURANCE CARD(S).

HEMORRHOIDS TREATED

Forms

HEMORRHOID CENTER at NORTH SCOTTSDALE

Our current location is permanently closed.

Since your health is of paramount importance, we urge you to seek care with a physician of your choosing.

You can find a list of alternative American Board certified Colon and Rectal surgeons by visiting the American Society of Colon and Rectal surgeons website at FASCRS.ORG

If you need a copy of your medical records sent to your physician, please ask your provider’s office to fax a request to 480-914-9141

If you need to leave us a message, please complete “THIS FORM” and we will do our best to respond to you as soon as feasible.

Our years here have been filled with many rewarding experiences and memorable patients. Thank you for being part of our family.

Sincerely,

R F Tarazi, MD, FASCRS