Patient Registration

Southern Nevada Adults (18yrs+)

Fill out the form on the website below.

PLEASE NOTE: Insurance card and photo I.D. are required to complete the form. If you/the patient has no insurance or no insurance card, please write the words "CASH PAY" or the insurance information on a piece of paper and upload it to continue.

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Questions?

Let us know what kind of services and treatment you are in need of and we can answer your questions before registering with us as a patient.

Patient Inquiry