Home
Services
About Us
Contact Us
More

Home
Services
About Us
Contact Us

Superstition Family Medicine

Superstition Family MedicineSuperstition Family MedicineSuperstition Family Medicine

Make Primary Care Great Again!

Make Primary Care Great Again!Make Primary Care Great Again!

Download forms here or complete in office

Adult Primary Care

Pediatric Primary Care

Pediatric Primary Care

Pediatric Primary Care

Pediatric Primary Care

Pediatric Primary Care

CDL Driver Physical

Pediatric Primary Care

CDL Driver Physical

Primary Care Forms

AIA Sports Physical Form 2022-2023 (pdf)

Payment and HIPAA Form (docx)

Recurring Payment Authorization Form (docx)

Patient Demographics (docx)

Medical Records Release Form (docx)

Patient History Form (docx)

Menu / Price List

Primary Care Services Included in our Concierge Contract ($50/month)

New Patient Initial Visit

$120 value

Follow ups and same day visits

$60 value

TB Skin Test & Interpretation

$15 value

Urgent Care/Sutures

$140 value

Vitamin B12 Shot

$20 value

Toradol Shot

$25 value

Rocephin Shot

$30 value

DOT Physical

$50 value

Sports Physical

$25 value

Work Physical

$50 value

Strep Test

$10 value

Pregnancy Test

$5 value

Urinalysis

$10 value

Breathing Treatment

$30 value

Testosterone Refills

$50 value

Other Services (not part of concierge value)

B12 10mL Bottle with #10 needle kit

$60

B12 30mL Bottle with #30 needle kit

$120

IV Hydration Normal Saline

$120

FMLA Paperwork

$100

Worker's Compensation Paperwork

$100

Disability Paperwork

$120

Handicap Placard DMV Form (Must be an established patient)

$25

Second Opinion Consults

$50

15 - 20 minute sessions

Weight Loss Services

Semaglutide (Ozempic) & Tirzepatide (Mounjaro) Patient Self-Administers Weekly (saving the patient thousands of $$$)

Initial Visit

$60

Follow up Visit (every 2-3 months)

$30

Initial and follow up visit fees are disregarded if you sign up for monthy concierge program.

Our Partners

https://www.carecredit.com/sites/pc/image/carecredit_button_applypay_prequal_350x213_green_v1.jpg

Superstition Family Medicine, LLC

6104 East Brown Road, Mesa, Arizona 85205, United States

Copyright © 2021 Superstition Family Medicine, LLC- All Rights Reserved.

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Announcement

Please consider donating to my GoFundMe for this wonderful woman who has doctor bills piling up!! Any help you can give is so very much appreciated. You can help lift a huge burden from this "Grandma's" financial situation that hit her like a thief in the night!!! And thank you Banner Baywood for the care you gave to get her home to her husband, daughter, and grandsons.

I thank you from the bottom of my heart!!

https://gofund.me/c4c866f7