Contact Form

Contact us

Complete the form below and a member of our team will be in touch within 1 business day. This form is for non-emergency requests only.

Patient Name

First

Last

Reason:

New Patient Appointment
Existing Patient Appointment
Existing Patient - I would like to access my patient portal.
Other (please specify in notes section)

Best Contact Phone #

What is your preferred contact method?

Call or Text Message
Call me

Do we have permission to leave a voicemail message?

Yes, please leave a voicemail.
No, please do not leave a voicemail.

Your Email

Your Date of Birth

How can we help you? Details Appreciated 🙂

This form is for Non-emergency requests only, we will respond as soon as possible, typically within 1 business day. Do not share any protected health medical information on this form. If you have a medical emergency, please call 9-1-1 or locate your nearest Emergency Department.

By continuing, I agree to the terms of use & privacy policy

I agree.

By selecting "I Agree", and submitting this form, you consent to receive SMS text messages regarding, but not limited to customer support and account notifications from Valley Arthritis Care. Message frequency may vary. Message and data rates may apply. You can reply STOP to opt out of further messaging or HELP for assistance, or call 480-815-2690. Please see our Privacy Policy by visiting: https://valleyarthritiscare.com/privacy-policy/

Contact us

Call us (623) 815-2690