We sincerely apologize for the technical difficulties you have encountered. You have been directed to this page because our office has not received your information and we are unable to retrieve it at this time. Our technical support team is actively working to resolve the issue.

In the meantime, we can assist you with registering for our patient portal. We will send the necessary forms through that platform, which is currently operating normally.

Upon receiving the following information, we will send you an email with instructions for accessing the patient portal and completing the required forms.

Please either complete the following form or send an email to mail@aapsa.net. This will help our office respond to you as quickly as possible.

**Please ensure you are using Google Chrome as other browsers are not supported.**