SUBMIT APPOINTMENT REQUEST FORM

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 based on your preference if received between the hours of 7am-9pm. If received after hours, we will confirm your appointment the next day by 8am.

Questions about what we charge or what services we provide?

Check out our services and pricing section

Questions about our clinic hours of operation?

Check out our clinic hours of operation

Do you need to know our payment options?

Check out payment options

Want to order preventative or treatment products?
Visit our SHOP

 

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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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