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3501 N. Scottsdale Rd. Suite 140, Scottsdale, AZ 85251
Tel: (480) 772-2453  Fax: (480) 452-1123

New Patient Paperwork

Our friendly staff is committed to making your first visit with us as comfortable and efficient as possible. To assist in expediting the process, you can fill out your paperwork using the link below. Please print and fill them out and send them to us prior to your appointment by either faxing or mailing them. Our fax number is (480) 452-1123 and our mailing address is, 3501 N. Scottsdale Road, Suite 140, Scottsdale, AZ 85251. This will help get you in to see the doctor sooner.

Please also bring copies of any prior test results, your driver's license or picture ID, your insurance card, and any co-pay or deductible that applies.

If you have any questions, please feel free to contact us at (480) 772-2453.

About Us

Headed by Dr. Keith Zacher, MD, FACS (Arizona’s Top Doctor 2016) we are Scottsdale’s preferred general surgeons. We are experts with laparoscopic and minimally invasive procedures.


Scottsdale Surgical Solutions

3501 N. Scottsdale Rd. Suite 140,
Scottsdale, AZ 85251

Tel: (480) 772-2453
Fax: (480) 452-1123

©2017 Scottsdale Surgical Solutions. All rights reserved. Keith Zacher, MD, FACS