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New patient intake

Welcome. Let's get you scheduled.

Please complete this form so our front desk can verify your insurance and confirm your first visit. Fields marked with an asterisk are required. For anything urgent, call 972-491-1200.

Your information is submitted securely to the clinic and is protected under HIPAA.

A clinician carefully wrapping a patient's hand with a fresh bandage.

Is StemWave® right for you?

3 quick taps. No personal details.

1 of 3 Where do you feel it most?

Not medical advice. Dr. Rizvi confirms eligibility at your visit.

Let's Connect

I'll get back to you as soon as possible

Step 1 of 3 · Your details

Or call directly: 972-491-1200