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Dermatology & Skin Surgery Specialists of Arizona



The Patient Registration Packet (Click Here to Download) can be downloaded as PDFs to your computer and completed at your convenience. By completing these forms ahead of time, you will save a significant amount of time during your visit. You can fax them to our office at 480-428-8615 or bring them in to your appointment.

Please be prepared to provide this information to our office along with your current medical insurance card and a photo identification. If your insurance requires a referral, please bring the referral form with you. If have a specialist co-pay, we will collect that at time of service.

Please arrive 15 minutes prior to your first appointment to allow sufficient time for the registration process. If you would prefer to complete the forms at our office, please arrive 30 minutes prior to your appointment time.

We appreciate your assistance with preparing for your appointment, and we look forward to providing you the highest quality dermatological care. If you have any questions or concerns regarding the registration process, or any questions about your appointment, please do not hesitate to contact our office.