Patient Registration

Northern Nevada Pediatric Patients

Fill out the form on the website below for patients in NORTHERN NEVADA (Reno, Carson City, Sparks areas).

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.

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.