Appointment Request

The first step toward a beautiful, healthy look is to schedule an appointment. Please contact our office by phone at 602-938-3742 and the office staff will be happy to schedule you an appointment. Consultations usually last 90 minutes depending upon the surgical procedure you are interested in. 

Please do not use this form to cancel or change an existing appointment.

Patient Appointments Are Available:

Tuesday       10:00 a.m. to 5:00 p.m.
Thursday       9:00 a.m. to 12:00 p.m.
   

The office is open Monday thru Friday.

Surgical Procedures are preformed Monday through Friday. Our office strives on getting your  consultation and surgery scheduled at a time most convenient for you.  We work with you and are happy to assist you in any way. 


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

 


ACCESSIBILITY