Request an Appointment Online

Scheduling your appointment is easy using our online appointment request form below.  Provide your contact, exam and insurance information in the form below and a representatives will call you back within 3-5 business days to schedule your exam.

If you need to confirm, cancel or have questions regarding your upcoming appointment please email us at This email address is being protected from spambots. You need JavaScript enabled to view it.. 

X-RAY EXAMS ARE AVAILABLE ON A WALK-IN BASIS. NO APPOINTMENTS. CLICK HERE to view our X-RAY hours by location.

Please be advised that X-RAY exams are temporarily unavailable at our Wynn Road location.


Online Appointment Request Form

Name(*)
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Phone Number
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Email Address
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Date of Birth(*)
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Insurance Provider(*)
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Patient Status(*)
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Provider who referred you for this exam(*)
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Procedure Type(*)
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Additional Comments
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*Please allow 2-3 business days for a call back after submitting an online appointment request.