Make an Appointment To make an appointment at West Valley Colon and Rectal Surgery Center, complete the form below to request an appointment online. A representative will get in contact to finalize the appointment. You must have JavaScript enabled to use this form. Your Name Your Email Phone I understand that I am sending my information via a possibly non-secure internet connection. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? Enter the characters shown in the image. Get new captcha! Send message Leave this field blank