New Patient Form

New Patient Forms

Please complete both forms. They are required before we can provide service to you.

New Patient Form
Complete this form and bring it with you or email it to us before your visit.

9844 S 1300 E #340, Sandy, UT 84094

Phone: (801) 572-4261

Office Hours

MON - THU 7:30 am - 5:00 pm

FRI - SUN Closed

Get in Touch


Call: (801) 572-4261