Please Fill Out Our New Patient Form

1.Fill Online

2. After you fill out our forms, they will automatically be sent to us.

3. We will contact you when we receive them.

4. Send us via email or text (480-462-3730) an image of your photo i.d.

5. Send us via fax or email a scan of your medical records (if available), OR

6. Drop off copies of your medical records to our Scottsdale or Mesa offices. If you

    drop off originals, we will copy them and return the originals to you.


Office locations:

Mesa Clinic: (Gateway Executive Center) 4140 E. Baseline Rd., Bldg 101, Mesa AZ 85206

Scottsdale Corporate Office: (The 9400 Corporate Center) 9375 E. Shea Blvd, Bldg 100, Scottsdale AZ 85260

Tel: 480-462-3730  Fax: 844-381-2983 or 480-401-0819


Hours of Operation:

M-W 9:00AM - 5:00PM     Thursday: 9:30AM-1:30PM    Friday: Closed  Sat-Sun: Closed