Patient Forms

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

The following medical and surgical specialties for adults are offered at Banner – University Medicine North:

  • Abdominal transplant
  • Allergy
  • Anticoagulation
  • Bariatric surgery
  • Cardiology
  • Cardiovascular thoracic surgery
  • EMG
  • Endocrinology
  • Gastroenterology
  • General surgery 
  • Heart and lung (CT) transplant 
  • Hepatology
  • Infectious disease
  • Internal medicine
  • Laboratory services
  • Medical imaging
  • Nephrology
  • Neurology
  • Neurosurgery
  • OB/GYN
  • Pacemaker Clinic
  • Plastic surgery
  • Otolaryngology (ENT)
  • Podiatry
  • Pre-Anesthesia Clinic
  • Pulmonology
  • Pulmonary function testing
  • Radiation oncology
  • Rheumatology
  • Trauma surgery 
  • Urology 
  • Vascular surgery