To help streamline your visit with Dr. Estelle Farrell we have provided some of our patient forms below. You may print them out, fill in all fields, and bring to your visit to help eliminate time spent in the waiting room. You may also log-in to the Patient Portal link and add/change your personal information.
If you are a new patient and are downloading forms for your first visit please download our:
If you need a specific form please look below for individual forms.
 1. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download it for free.
Features of My Patient Portal:
- Login or become a new online patient.
- Access all online services offered by the physician.
- Update demographics and insurance.
- Update e-mail address.
- Update username and password.
- View history of previous encounters.
Please contact the office if you should have any questions and we will be glad to assist you
Insurances We Take:
| Aetna |
Humana |
| AZ Foundation |
Medicare |
| Beech Street |
Scan |
| Blue Cross |
SCF |
| Coventry (First Health) |
United Healthcare |
| CCN |
Worker's Compensation |
| Healthnet |
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If your insurance is not listed above, please call our office at (480) 659-2301 for further information. We would be happy to assist you!
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