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New Patient Registration


Man filling out online patient forms on laptopYou may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Registration Form

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Las Vegas Office


6950 Smoke Ranch Rd
Suite #200
Las Vegas, NV 89128

Map & Directions

Henderson Office


1525 W. Warm Springs Rd
Suite #125
Henderson, NV 89014

Map & Directions
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