out the form below to request an appointment with one of
our providers. This form is to make appointments
2 weeks or more in the future. Please call your doctor's
office if you need an appointment within 2 weeks.
Do not use this form if
you need an urgent appointment or one within the next
In case of emergency, call
your doctor's office or 911.
you do not receive an appointment letter within the
next week, please call your physician's direct
number or call 393-2888.
information with the * is required.
You will receive a detailed confirmation by US postal
service in the next few days. If you have not received this letter
within one week, please call the office at 585-393-2888.