Tech-Check Request Form
Please submit if you need assistance with setting up zoom for your telemedicine appointment. For all other questions concerning your appointment, please contact 602-406-6262. Thank you!
Contact Information
Contact Information
First Name
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Last Name
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Email Address
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Phone Number
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Select a time of day that is most convenient for the tech-check team to contact you.
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Appointment Information
Appointment Information
Physician Name
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Date of Appointment
mm/dd/yyyy
I do NOT have an appointment scheduled at this time
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