Patient registration

Fill out your health history over our secure system

You may pre-register with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.



Phone: (505) 292-8555

or 1(800) 235-6484

Fax: (507) 293-3863


8400 Osuna Road NE, Suite 6B

Albuquerque, New Mexico