Step 1 of 2

Fill out our HIPAA secure & confidential patient intake form and we will be in touch shortly!

Pre-registration gives your doctor the opportunity to review your history before you arrive and to call you if there are any medical or social concerns.

Please read Our Approach, Instructions, and FAQs before the day of your procedure.

After filling out your form, please scroll down to Step 2 to book your date & time.