Please complete the entire Request An Appointment form to the right. After we have confirmed payment and reviewed your Appointment Request information we will contact you.

Normal wait time to be contacted is within one hour from submitting the Request An Appointment form.

Request An Appointment - Physician Consultation

This form must be completed before we can schedule your appointment. Please complete all information as accurately as possible to ensure we can best meet your satisfaction.

  • Please note, we CANNOT prescribe narcotics, or controlled substances.