Request an Appointment

Disclaimer: This form should not be used to communicate any confidential personal or medical information (PHI), but should only be used for appointment requests.

Same-day appointments may often be available, so please call our Medical Office at 928.777.9950 if you want an appointment today. If you would like to get in contact with our Physical Therapy Office call 928.515.8899

Please be aware that you are submitting a request only. A representative from our office will contact you within 24 to 48 business hours to confirm a date and time.

If this is a medical emergency, please do not fill out this form, call 911.