New Patient Forms

Patient Forms

NEW PATIENT FORMSSave yourself some time by filling out the new patient forms prior to visiting our office.  If you have questions or concerns about any of the information on our new patient forms (Prosthetics or Orthotics) please all our corporate offices at (866) 981-6767 and speak with one of our knowledgeable team members for clarification.  We look forward to seeing you soon.

WE NO LONGER ACCEPT SCRIPTS FOR DIABETIC SHOES and/or DIABETIC INSERTS.

Prosthetic Patients

Accepted Insurances

  • AARP MEDICARE COMPLETE
  • ABRAZO NETWORK
  • ACCOUNTABLE HEALTH PLANS
  • ADMINISTRATIVE ENTERPRISES
  • AETNA
  • AHCCCS
  • AMERIBEN
  • AMERICAN INDIAN HEALTH
  • APIPA PERSONAL CARE PLUS
  • AZ FOUNDATION FOR MED. CARE
  • ARIZONA PHYSICIANS IPA
  • BANNER PHO
  • BEECH STREET
  • BLUE CROSS BLUE SHIELD OF AZ
  • BRIDGEWAY
  • CAREMORE
  • CHAMPUS
  • CIGNA HEALTHCARE
  • CITY OF MESA
  • CO-FINITY
  • CORVEL
  • DIRECT DME
  • EVERCARE CHOICE / SELECT
  • GILA RIVER HEALTH CARE
  • GILSBAR
  • GOLDEN RULE
  • HMA
  • HEALTH CHOICE GENERATIONS
  • HEALTH CHOICE OF ARIZONA
  • HEALTH NET
  • HMA / HMN / RAN
  • HUMANA PPO
  • INDIAN HEALTH SERVICES
  • INSPIRIS
  • LIFEPRINT
  • MARICOPA HEALTH ADVANTAGE
  • MARICOPA CARE ADVANTAGE
  • MEDICARE
  • MEDI-SUN
  • MERCY CARE
  • MERCY CARE ADVANTAGE
  • MMSI
  • PACIFICARE / SECURE HORIZONS
  • PHCS – PRIVATE HEALTHCARE SYSTEMS
  • PHP/COMMUNITY CONNECTIONS
  • SCAN
  • SCAN MEDICARE
  • STATE COMPENSATION FUND/AZ
  • TRICARE FOR LIFE
  • TRICARE PRIME
  • TRIWEST
  • UHC – GOLDEN RULE
  • UMR
  • UNIVERSITY FAMILY CARE
  • UNIVERSITY PHYSICIANS CARE ADVANTAGE
  • UNIVERSITY PHYSICIANS HEALTHCARE GROUP
  • UNITED HEALTHCARE
  • USA MANAGED CARE ORGANIZATION
  • (Plus Many More – call if you don’t see yours listed above)

Locations

McCleve O&P – East Valley

5432 E. Southern Ave. Suite #106
Mesa, AZ 85206

TEL: (480) 981-6767

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