Emergency or Urgent requests cannot be processed through this On-Line form. If you are experiencing a medical emergency, or have any questions about a condition believed to be emergent or urgent, PLEASE DIAL 911 or GO IMMEDIATELY TO THE NEAREST EMERGENCY ROOM.
This On-line Form is for your convenience and is to be used for non-urgent requests, ONLY. If you prefer to speak with someone immediately, please call your provider's office during normal business hours (Monday-Friday from 9:00am to 5:00pm except Holidays).
If you are submitting this request for non-urgent appointments (for example: new patients, annual physicals, non-urgent conditions, or well visits) during non-business hours, please be advised that the on-line appointment request forms are NOT monitored or reviewed during non-business hours and will NOT be seen until normal business hours on the following business day (Monday-Friday from 9:00am to 5:00pm except Holidays). Once your request is received we will contact you to confirm your appointment.
No Show Fee Policy
If you do not give at least 24 hours’ notice of cancellation of your scheduled appointment, A No-Show Fee will be billed to your account.
$50 for Office Visit | $100 for any Procedure/Imaging