Patient Information


Hospital Affiliations Patient Info

  • Mountain View Hospital, Las Vegas, NV
  • Summerlin Hospital, Las Vegas, NV

Your First Appointment

Please arrive early so that we can complete your new patient paperwork. Also, please bring the following:

  • Photo ID
  • Patient’s insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about the patient’s medical and surgical history
  • Recent test results, x-rays, or relevant records

Patient Forms

To expedite your first visit, please click here:

Patient Portal

You may also print and fill out the following forms:

Medical Records

Patient DemographicS

Patient History

Privacy Policy

Notice of Privacy Policy

Insurance and Payment Information

Walter J. Willoughby, M.D. is a provider for Medicare and most major insurance plans and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing, please contact our Billing Department. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Privacy Policy Notice details how medical information about you may be used and disclosed and how you can get access to this information. A copy of our Privacy Policy Notice is given to all new patients.


Walter J. Willoughby, Jr., M.D.
10105 Banburry Cross Drive, Suite 355
Las Vegas, NV 89144
Phone: 702-998-1400
Fax: 702-998-1333

Office Hours

Get in touch