Patient Support

Forms

	Authorization for the Release of Patient Information (PDF, 15 KB)
	Restriction for the Release of Patient Information (PDF, 14 KB)

Please mail completed form to:
Associated Billing Services, Inc
PO Box 27340
Phoenix, AZ 85061-7340

If you have any questions about your bill or other matters, please contact ABS Customer Service between the hours of 9:00 AM and 4:15 PM local Arizona time, Monday through Friday, at 1-800-359-9525.

If you would like to contact us online, please fill out our Patient Contact Form.

Thank you.