New Patient Form

Patient and Insurance Information

Please fill out all of the fields below ahead of time and the pre-registration packet that was mailed to you to ensure that we may get you in promptly for your scheduled appointment. If you have not received the pre-registration packet by mail, please call our office so we may email or fax them to you.

To schedule a consult
please call (602) 971-0950

  • The Zeltiq Procedure

    • Learn About Zeltiq

      The Zeltiq Procedure provides a noticeable, measurable and natural-looking reduction in fat bulges in two months in properly selected patients. Additional Zeltiq Procedures may achieve more fat reduction.

  • Candela Laser Video

    • Learn About Candela

      Click on the play button to watch a short video explaining the candela lasers we use in our office.

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