All new patients, please download, complete and sign this form prior to your first visit.
Phone: (480) 947.6788
Every patient, regardless of procedure, must download, complete, and sign the HIPAA Acknowledgement Form prior to your first visit.
All new patients, please download, complete and sign this form prior to your first visit.
After completing the HIPAA Form above, patients receiving cosmetic procedures must download and complete the Patient Registration Form.
Cosmetic patients, please download and complete this form prior to your visit.
After completing the HIPAA Form above, patients receiving skin care treatments must download and complete the Skin Care Consultation Form.
Skin Care Patients, please download and complete this form prior to your first visit.
After completing the HIPAA Form above, patients (or gaurdians of patients) receiving craniofacial care must download and complete the forms below. There is a form for new patients and existing patients - please complete the one that applies to you.
New Cleft and Craniofacial patients, please download and complete this form prior to your visit.
Existing Cleft and Craniofacial patients, please download and complete this form prior to your next visit.
