Patient Registration

For your convenience we now provide patient registration forms you may download at your leisure. Please complete all forms and bring them with you on the date of your visit.

You will need Adobe Acrobat Reader in order to access these forms.

• Registration form
• Hipaa waiver
• Medicare waiver

Martin L. Johnson, M.D., F.A.C.S.
Aesthetic Reconstructive Associates, P.C.
5410 N. Scottsdale Rd.
Suite E200
Paradise Valley, AZ 85253

Phone: (480) 994-3996
Fax: (480) 994-3997