SUBMIT APPOINTMENT REQUEST

We have same day appointments 7 days a week.

We are an urgent care clinic so please complete and submit this form 24 hours or less before your desired appointment day and we will text or call you back within 15 minutes or less to confirm your appointment time. Due to COVID-19, we are only scheduling one family at a time so we are are requiring a $25 per person appointment retainer deposit.  This will be credited back towards the cost of your treatment.

 

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1 Step 1
Parent/Guardian Information
Name of family members that need to be treated for sure:
Name of family members that need to be screened:

Clinic Text - Not Visible To Public

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