Services

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New Patient Specials

Request An Appointment

We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment, you may be preventing another patient from getting much-needed treatment. If an appointment is not canceled at least 48 hours in advance you will be charged a fifty dollar ($50) fee; this will not be covered by your insurance company.

Name*
First Last
Daytime Phone*
Alternate Phone
Email*
Best Contact Method
- Email
- Phone
- Alternate Phone
Date/Time Requested
Date - 1st Choice*
Date Format: MM slash DD slash YYYY
Date - 2nd Choice*
Date Format: MM slash DD slash YYYY
Time Slot - 1st Choice
Time Slot - 2nd Choice
Name a time (1st Choice)
We will do our best to accommodate your appointment time request. If we cannot, we will try to arrange an alternate time that will work for you.
Name a time (2nd Choice)
We will do our best to accommodate your appointment time request. If we cannot, we will try to arrange an alternate time that will work for you.
Describe problem and or services needed*
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Name
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Monday	7:00am - 4:00pm
Tuesday	9:00am - 6:00pm
Wednesday	7:00am - 4:00pm
Thursday	9:00am - 6:00pm
Friday	By Appointment
Saturday	Closed
Sunday	Closed

Services

Request An Appointment

Date/Time Requested