Edward Madrid, MD
655 S. Dobson RD. Suite B-218
Chandler, AZ 85224
Main: (480) 722-1180
Fax: (480) 722-1187
For Emergencies, please call 911
New Patient
Registration Forms
Are you expecting, new to the area, or considering a doctor change?
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We offer complimentary Meet & Greets appointments for prospective patients, parents, and parents-to-be! These visits will give you an opportunity to learn about our practice, our services, and a chance to meet our care team.​
New Patient Registration Forms
Initial Health Questionnaire for New Patients
Patient and family medical history forms help us provide better care for our patients by allowing us to identify if the patient has a higher risk for a disease, provide early warning signs and treatments to reduce a patients risk for a disease and to help plan lifestyle changes to keep the patient healthy.
Notice of Privacy Practices
Crossroads Pediatrics is dedicated to maintaining the privacy of its patients' protected health information under HIPAA. We are required by law to maintain the confidentiality of this health information. We are also required by law to provide you with this Notice of Privacy Practices which describes our legal duties and your rights.