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New Patient Online Registration-Click below and follow instructions

Existing Patient Online Registration- Please update only the information that has changed from your last visit. (Highlighted information required)

Bring in your confirmation number to receive a free gift.

Mesa Online Registration

Scottsdale Online Registration

Conditions and Policies Form - Please download and bring with you to appointment

Download & Print Form

Riviera_Records Release -Click Here

Note: the request will be processed within the time frames set forth by state law or within 30 days, whichever is less and you may be responsible for cost for copies.


We strive to provide complete care for our patients. Learn more about all the services we provide.
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Mesa 480-827-9184       Scottsdale 480-991-6432
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.