Book an Appointment

You may complete the form to request an appointment at the Movement Disorders Center of Arizona.

For insured patients, please fill out all relevant insurance fields. For non-insured patients, please call to schedule an appointment.

Please download and fill out out our new patient form before your appointment.

Reason for Appointment

First Name

Last Name

Birth Date

Phone Number

Email Address

Address

I am insured and have my insurance details.

	(480) 526-5441 (480) 526-5449
	(480) 526-5443 (Fax)
	clinic@mdca.us
	9500 E. Ironwood Square Drive, Suite 118 Scottsdale, AZ 85258 United States