Chandler CARE Center
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Chandler CARE Center FormsThe forms below are available for your convenience.Sports Physicals - English
Please print all forms and complete forms 1-3. Physician Evaluation Form will be completed by physician during your appointment. 1.
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2019 - 2020 AIA Sports Physical Form for Parent/Guardian to Complete
2019 - 2020 AIA Sports Physical Consent to Treat Minor
2019 -2020 AIA Mild Traumatic Brain Injury and Concussion Form
2019 - 2020 AIA Physical Evaluation Form - for physician to complete
Adult ONLY Immunization Forms - English1.
Immunization form coming soon.
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Updated flu consent coming soon.
Child Immunization Forms - English1.
Immunization form coming soon. 2.
Updated flu consent coming soon. Chiropractic Forms - English1.
Intake Form coming soon 2.
Chiropractic Form Dental Forms - English1.
Intake Form coming soon 2.
History Form coming soon TB Skin Test Forms - EnglishWe are no longer able to provide TB skin tests.
If you are in need of a TB skin test, please click here to be taken to a website with information on low cost testing.
All Medical Appointment Forms - English1.
Intake Form coming soon 2.
Medical History Form Southwest Behavioral Referral Form - English1.
Southwest Behavioral Form Vision & Hearing Forms - English1.
Vision and Hearing Intake Form coming soon Documents Need to Apply for AHCCCS - English The document below will assist you in determing what items you will need to bring in with you. 1. AHCCCS Checklist
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Address
Phone
Center Hours
Email
777 E. Galveston St.
Chandler, AZ 85225
480-812-7900
Monday - Thursday
7:30 a.m. - 4:30 p.m.Friday7:30 a.m. - 3:30 p.m.Join us on Facebook!!
