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!

At this time all appointments booked require a $20 deposit that will be applied towards any co-payments or deductibles associated with your insurance if you keep your appointment. If you do not cancel within 24 hours of your appointment this fee will be non-refundable. Appointments are not finalized until payment is received. Thank you for your cooperation.