If you are interested in an appointment please fill out the NEW PATIENT INTAKE FORM and send it to the clinic via fax/ email/ or in person. You may also have a medical provider refer you to the clinic. Please fill it out completely. You will be notified within 14 days (in most cases) about the approval of the appointment. You will then be scheduled for an appointment. (The scheduling of appointment varies). Appointment availability and approval are dependent on a variety of factors, including the availability of the medical provider.
If you have any questions please call or email firstname.lastname@example.org and someone can assist you in the process.
If this is an emergency please call 911 or go to the nearest emergency room. We are not an emergent care facility and we do not accept walk-ins.
Already Accepted as a NEW PATIENT ? Be Prepared! Click the tab below for the forms required for your first visit.
Our Clinic At A Glance