Becoming a Patient

The first step is to schedule an appointment and get started. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to schedule your appointment.

After scheduling your appointment and receptionist's on-phone screening, you will be sent a packet of information and forms, along with a lab requisition to get your labs taken on a specific day and time.

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?

Which office location(s) would you prefer for your appointment?
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.