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Online Forms

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.