• Board Certified General Surgeon | Fellow of the American College of Surgeons
  • Experienced, Highly Trained, and Dedicated Staff
  • Dedication to Compassionate, Respectful Patient Care
  • Our Goal is to Provide Minimally Invasive Treatment Whenever Possible
  • We Work Closely With Your Primary Care Physician to Provide Comprehensive Care
  • State-of-the-Art Facilities and Technologies
  • A Full Range of Treatment Options from Minimally Invasive Procedures to Surgical Repair
  • Translation Available for Spanish-speaking Patients
  • A Focus on Minimally Invasive Alternatives to Open Surgery

New Patient Paperwork

We are pleased that you have chosen our surgical practice and our goal is to make your registration as smooth as possible. To assist in expediting the process, you can fill out your paperwork using our online registration which is easy to use from a computer, tablet or mobile phone. Please enter the requested information to help us assist you and save you valuable time on the day of your appointment. Information you enter is secure and will not be shared with anyone outside of our organization. Below for easy reference is a helpful list we created to give you an idea of what information you will need to have on hand when filling out the online registration form. The entire process should take you about 5 to 10 minutes but for patients that have more medical history to enter, it could take a little bit longer.

When coming in for your appointment please bring the following:

  • List of doses of current prescribed medication
  • Copies of any prior test results
  • CD images of all recent studies
  • List of names and phone numbers of all treating physicians
  • Your driver's license or picture ID
  • Current insurance card
  • Any co-pay or deductible that applies

If you have any questions, please feel free to contact us at (602) 340-0201, our friendly staff is here to help.

Click the link for our Secure Online Registration:
New Patient Online Registration

Information needed for online registration:

  • Medical Insurance Information
  • Pharmacy Information (Phone & Locations)
  • Current Physicians (Names & Specialties)
  • Medical Allergies
  • Current Medications (Dose & Frequency)
  • Prior Surgeries
  • Current Medical Problems
  • Family Medical History

*Please note that if you start the registration, you do not want close your browser down until you have submitted the form. The information you enter is temporarily saved in the browser but once you close it out, the information will be gone.