Our system allows returning patients to start from your previous patient information and just make updates and corrections. You will need a passcode to retrieve your old information.
Call or email the office if you need your code. Enter the passcode below. You will then be taken to the patient history forms to update.

New Patient? This page is only for returning patients. If you are a new patient, go to the New Patient Form
Having Trouble or Need your Code? Call/Text 480-706-3060 or Email office@azlifetime.com