To schedule a consultation or ask us anything, please complete and submit the request form below. Our Patient Advisor will contact you to confirm your appointment.
Dunlap1819 W. Dunlap, Suite 1
Phoenix, AZ 85021
Indian School3101 W. Indian School Rd.
Phoenix, AZ 85017
If someone other than the child’s the parent or legal guardian are bringing the child to their appointment, this form must be completed. Once completed, the form will need to be notarized prior to the appointment – a service we can provide at our office. These are for patient parents to fill out if someone other than the parent or legal guardian are bringing a child to their appointment. Once these forms are filled out, they need to be notarized prior to the appointment (we can provide that service here).