Request an Appointment

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    • Use this form for non-urgent appointments only. For urgent appointments within 24 hours, please contact us by phone.
    • Your request will be processed within 48 hours, during normal business hours, Monday – Friday, 7:30 a.m. – 7:00 p.m., excluding holidays. If you do not hear from us within that time frame, please contact us by phone.
    • If you do not accept the terms of this disclaimer, you will not be able to process your request on-line.
    • To schedule an appointment or ask questions about this form, please contact our office during normal business hours at (810) 732-1919.
    • Date Format: MM slash DD slash YYYY