LET'S GET ON THE RIGHT FOOT TOGETHER

First Visit Info

We want your first visit to be comfortable and helpful. To serve you better we have put together a few things that you can do prior to your appointment in preparation for our first interaction. 

Forms

  1. Click on button to download form(s)
  2. Save the form to your desktop (Do not complete the form in your web browser (online), your information will NOT be saved.)
  3. OPEN the form from your desktop and complete the form
  4. SAVE the form on your desktop
  5. Submit your completed form(s) using the tool below; or fax it to 623.322.8996; or print it and bring it with you to your upcoming appointment​

Arrival Instructions

  • Please arrive 10 minutes early for your appointment if you have your paperwork filled out.
  • Arrive 20 minutes early if you need to complete the new patient forms in the office.

    Submit Your Form

Get Directions

Our office is conveniently located just west of I-17 on the south side of Bell Road behind the CHILDTIME LEARNING CENTER
​
16841 N. 31st. Ave., Suite 134 
​Phoenix, Arizona 85053
(Click the map for navigation)

Meet The Team

Learn about our doctors and staff!

Insurance List

Below are the insurance providers we accept at Agave Foot.
AARP Medicare Supplement
AHCCCS (with referral)
            Mercy Care Advantage
            Mercy Care Plan 
            APIPA 
            APIPA Dual Care Complete (Medicare Replacement Plan)
            Care1st (with authorization)
            One Care (Medicare Replacement Plan)(with authorization)
Aetna
Ameriben
Arizona Foundation
Blue Cross Blue Shield
Beech Street (Dr. Couch Only)
Cigna
Cigna HealthSprings HMO (Not Accepting New Patients)
​CMDP (with aurthorization)
First Health (Dr. Couch Only)
GEHA (Not Accepting New Patients)
Golden Rule
Healthnet HMO and PPO (No Banner or AZPCP networks)
Humana (PPO Choice Care Network Only)
Medicare
PHCS (Dr. Couch Only)
Tricare/Triwest (with authorization)
Tricare for Life 
United Healthcare