Appointment Request

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us! A $50 fee will be taken upon appointment confirmation so that we may hold your appointment time and our exam room. The $50 will be applicable to your visit's out of pocket expense and it is non-refundable for no-call no-shows. 


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