If you would like to schedule an appointment in our clinic, please fill out the following form. Please note that this is a request and you will be contacted to confirm the appointment. Once the appointment is confirmed, all appointments must be canceled 24hrs prior to the scheduled check-in time. Late cancellations will result in a $15.00 fee that must be paid prior to rescheduling or receiving future services. Failure to cancel and then not arrive for your appointment will result in a NO-SHOW Fee, which will require that a $25.00 fee is paid prior to rescheduling, or receiving future services.
Clinic Appointment Request Form
If you would like to schedule an appointment in our clinic, please fill out the following form. Please note that this is a request and you will be contacted to confirm the appointment. Once the appointment is confirmed, all appointments must be canceled 24hrs prior to the scheduled check-in time. Late cancellations will result in a $15.00 fee that must be paid prior to rescheduling or receiving future services. Failure to cancel and then not arrive for your appointment will result in a NO-SHOW Fee, which will require that a $25.00 fee is paid prior to rescheduling, or receiving future services.
Appointment Request Form
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