Patient Forms

Pre-registration form: Please download and complete the following form and bring it with you on your first visit.

Among the many services offered are, routine physicals, well women exams, chronic disease management, minor in-office procedures and diabetes management including a Diabetic Program run by a dietitian and a geriatrician. Banner – University Medicine Internal Medicine Clinic is also a Patient Centered Medical Home Care model which is model for care provided by physicians that seek to strengthen the physician-patient relationship by replacing episodic care based on illnesses and patient complaints with coordinated care and a long-term healing relationship.

Our clinic was recently awarded one of Banner’s Best of the Best awards. These awards honor locations that are overall top performers and help to perfect the customer experience, help our customers be their healthiest, grow our reach and impact and engage and inspire our people.

Banner Health and University of Arizona Health Network have come together to form Banner – University Medicine, a health system anchored in Phoenix and Tucson that makes the highest level of care accessible to Arizona residents.

Banner – University Medicine includes Banner – University Medical Center Phoenix, Banner – University Medical Center Tucson and Banner – University Medical Center South, Banner Children’s at Diamond Children’s Medical Center, the University of Arizona Cancer Center, physician clinics and a health plan division.

Across its campuses Banner – University Medicine performs life-changing research and provides graduate medical education to those who go on to touch lives across Arizona, the nation and the world. The medical centers are a vital part of Banner Health’s mission to make health care easier, so life can be better.

Academic Medicine Difference

The partnership between Banner Health and the University of Arizona brings clinical care delivery, education and research to the forefront of the patient experience.