Schedule an Appointment Online

Click on either type to fill out the appropriate form.
Please fill out your information below and submit. We will call or email you during business hours to confirm. You can also call us on 480-598-4145  to schedule an appointment.

New Patient Registration and Appointment Request

Sex

Is your Phone number a Cell Phone?

Do you have Insurance?

Are you the Primary Insured?

Relation to Insured

Do you need to be seen today?

Established Patient Appointment Request

IF YOU ALREADY HAVE YOUR LOGIN FOR OUR PATIENT PORTAL, PLEASE SCHEDULE YOUR APPOINTMENT FROM THE PORTAL. THE PORTAL HAS MORE ACCURATE AVAILABLE APPOINTMENT TIMES!!!

IF YOU DON’T HAVE THE LOGIN, PLEASE ASK FOR YOUR ACCESS KEY NEXT TIME YOU COME INTO THE OFFICE.

Fill out the form with your details together with the date and time you would like to be seen and we will set up an appointment for you.

We will call to confirm your appointment at a number you provide us.

Appointment Request for Established Patients

Is your Phone number a Cell Phone?

Has your Insurance changed?

Are you the Primary Insured?

Relation to Insured

Do you need to be seen today?