Gwee's Integrated Health Services
Gwee's Integrated Health Services
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    • Home
    • General Practice
    • Behavioral Health
    • Forms
    • Contact
  • Home
  • General Practice
  • Behavioral Health
  • Forms
  • Contact

FORMS PAGE

INTAKE FORMS

The below listed forms are available in various formats. The forms that say online can be completed and submitted online. The .pdf and .docx files must be downloaded, completed, and submitted via email or fax.

INTAKE / FACE SHEET - Google Forms (online)

INTAKE FORM - FACE SHEET (Google Form) - online form (English)

INTAKE FORM - FACE SHEET (Google Form) - online form (Spanish)

INTAKE FORM - FACE SHEET (Google Form) - online form (French)

Intake Form

TreatmentCenterPacket (English) (pdf)

Download

TreatmentCenterPacket (Spanish) (pdf)

Download

TreatmentCenterPacket-Gwee (French) (pdf)

Download

Applications form

please download and fill out the application/ Taxes Form: W-4, W-9, A-4 and submit via email.  Email: info@gweesihs.com 

Gwee's Integrated Health Services Application (pdf)

Download

W-4 (pdf)

Download

W-9 (pdf)

Download

A-4 (pdf)

Download

Copyright © 2023 Gwee's Integrated Health Services - All Rights Reserved.

Gwees Integrated Health Services

General Medical and Healthcare Clinic


Telemedicine Apps Download Page

Patient Portal Login

Forms Download Page


Address: 9005 N. 29th Ave. Ste 1 & 2, Phoenix, AZ 85051


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