Make An Appointment

To make an appointment, please complete this form online and click the "Send Request" button at the bottom of this page. *Required field.

* Name of Patient:

* Patient's birthdate:

* Name of person making the appointment:
(if not the patient)

* Relationship to patient:

* Are you a first-time patient?
Yes NO

* I need to see the doctor for:

I prefer the following day of the week:

If we have questions or there is a scheduling conflict please supply the following information:
* Home Telephone Number:

Work Telephone Number:

Your E-mail Address:


medical services

Our professional clinic providers offer a range of healthcare services including:

  • Primary Care and Urgent Care healthcare services
  • International travelers health care services
  • Patient connections to all heathcare services
  • Health screenings
  • Immunizations
  • Community outreach
  • Health education
  • Individualized patient education
  • Coordinated care for those with multiple chronic conditions
  • DOT testing