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Enroll

Enroll Now

Limited Enrollment · Waitlist May Apply

Ready to be a member of Quill Health? Please send us an email through "Contact Us" or give us a call for guidance. To maintain the personalized, unhurried care our patients expect, Dr. Bacala accepts a limited number of patients at a time. Depending on current capacity, new patient requests may be placed on a waitlist and reviewed individually — submitting a request does not guarantee enrollment.

You will be charged a one-time enrollment fee of $100 + cost of 1st month membership (credit/bank card required). Once your information is received, we will be in contact shortly regarding the enrollment process and setting up an appointment. Please review the patient contract and forms below before enrolling — if possible, print and complete them to bring to your first appointment.

If you have any questions or require assistance, please call (702) 886-1292. If you are planning to enroll your family or business, please contact us for guidance.

Download Patient Contract (PDF)

Request to Join

Fill this out and we'll follow up with next steps. Because enrollment is limited, submitting this form is a request for consideration, not a confirmed spot — we'll let you know if we're able to accept new patients now or if you've been added to our waitlist.