New Patient Intake Process
Prior to making an appointment with the Serin Center, we require that you complete the steps outlined below. Once all of the steps have been completed, please call our main telephone number to schedule an appointment for all of our locations at (623) 824-5051.
Thank you for understanding that our experts are in high demand and we do our best to fill cancelled appointments to reduce our wait lists. By submitting your intake paperwork as soon as possible, you may have the opportunity to have an earlier appointment if someone else cancels. Intake paperwork can be scanned and emailed to firstname.lastname@example.org.
Cancellations or appointment changes must be made two full business days in advance of your scheduled appointment. In the event of a late cancellation or a no-show we will charge the appointment fee.
Insurance and Billing
The Serin Center experts are not directly contracted with insurance companies. We can provide monthly paid statements (“superbills”) for submittal for out-of-network reimbursement. We cannot guarantee reimbursement or advise you of what your insurance company will cover. For questions about insurance, please contact your insurance company directly.
Payment for Services
Full payment is due at time of service. We accept cash, checks, American Express, Discover, Master Card, Visa, HSA (Health Spending Account), and FSA (Flex Spending Account). Please consult with your HSA or FSA company for questions about using those funds for our services.
SELECT A FORM BELOW.
Please complete forms prior to your intake appointment.
If you would like to schedule an appointment for a child between the ages of 3 and 17 years old, please download and complete this PDF form. Then call our office to schedule. Complete this form prior to your visit and bring it with you to ensure the most time possible for your appointment.
If you would like to schedule an appointment for yourself or an individual ages 18 and older, please download and complete this PDF form. Then call our office to schedule. Complete this form prior to your visit and bring it with you to ensure the most time possible for your appointment.
Dr. Ruggiero Intake
If you would like to schedule an appointment SPECIFICALLY with Dr. Mark Ruggiero, please download and complete this PDF form. Then call our office to schedule. Complete this form prior to your visit to ensure the most time possible for your appointment.
RECORDS REQUEST FORMS
Do you need to request past doctor records to be sent to Serin Center or do you want Serin Center to send your documents to your care provider? In order to do so, you need to complete this form and submit to us. Not all new patients need to complete these forms.
Authorization To Request Records
This authorization gives us the ability to request or share important documentation that will help us provide you the best care possible. Please download and complete this form and bring it with you to your appointment.
Authorization To Release Information
This document will assist with improving communication between professional service providers and important family members. Please download and complete this form and bring it with you to your appointment.
OUT-OF-STATE PATIENT ACCOMMODATION OPTIONS
Once you have received your confirmation from the Serin Center Help Desk, we invite you to book your accommodations with one of the local establishments we have partnered with. Note that the cost of your accommodations and travel is not included in services provided by Serin Center.
If your appointment is scheduled for our Peoria, Arizona location, the most convenient accommodations will be as follows:
If your appointment is scheduled for our Scottsdale, Arizona location, the most convenient accommodations will be as follows:
What We Treat
We realize you and your loved ones are more than a label. Using common diagnostic terms can aid understanding and help guide treatment solutions. Find out more about what kinds of conditions we treat.
Being thorough on your intake forms and completing them before your scheduled appointment will help you maximize your time with your specialist. Help us help you by submitting forms by the deadline and bringing any prior medical records or important documents to your appointment. Plan to arrive a little early if it’s the first time coming to one of our locations and call us with at least 2 business days notice if you need to cancel or make a change to your appointment.
Schedule An Appointment
Call to talk with a Serin Center representative to discuss your particular needs and to schedule an appointment at any of our Arizona locations.
Client appointment hours:
Monday – Friday 9:00am – 7:00pm
Saturday by availability
Administrative office hours:
Monday – Friday 8:00am – 5:00pm