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Workers' Compensation Appointment

Please complete all of the information requested in the form below. Please note that the asterisk (*) items are required to complete your appointment request.

Once your request has been submitted, we will contact you. Appointments will be seen within 24 hours and in some cases the same day. Requesting an appointment for a NON work related injury? Use our Request an Appointment form.

Patient Information
Appointment Details
Employer Information
Insurance Information
Service Authorized



Records Request
Adjuster
Referral Source
Nurse Case Manager
Medical Information


Top Doc Awards

Gilbert *Updated Address*
3717 S. Rome St, Ste 106, Gilbert, AZ 85297

Glendale 
5681 W. Beverly Ln, Ste 101, Glendale, AZ 85306

North Phoenix
33300 N 32nd Ave, Ste 205, Phoenix, AZ 85085

North Scottsdale (Thompson Peak) *Updated Address* 
20745 N. Scottsdale Rd, Suite 105, Scottsdale, AZ 85255
 

Scottsdale (Osborn) *New Location*
7242 E. Osborn Rd Suite 230, Scottsdale, AZ 85251

Scottsdale (Shea) 
9700 N. 91st St, Ste B108, Scottsdale, AZ 85258

Queen Creek
37200 N. Gantzel Rd., Ste 240, Queen Creek, Arizona 85140

Sonoran Spine in Collaboration with Honor Health Tempe 
1255 W Rio Salado Pkwy, Ste 107, Tempe, AZ 85281