Appointments

We strive hard to run on time so that you can be seen on time. It is a courtesy to the rest of our family of patients for you to arrive promptly for appointments so that we can stay on schedule. We use a phone reminder system to call our patients the night before their scheduled appointment.  Please provide us with your current e-mail address to receive appointment reminders through e-mail as well.

Please do not use this form to cancel or change an existing appointment.
Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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