For faster service, let us know best time for your appointment.  We will confirm your appointment via email or phone within one working day.

Name:*
E-mail:*
Phone Number:*
-
Preferred Appointment Date: *
Preferred Time:
 : 
Location of Appointment:*
What procedure will you be coming in for?
Please explain your situation in a few words:

A copy of this submission will be sent to the email you provided above. Thank you


Cancellation Policy
We understand that unanticipated events happen occasionally in everyone’s life. In our desire to be effective and fair to all clients, the following policies are honored:
If you need to cancel your appointment, please allow 24 hours to notify us of the cancellation. This allows the opportunity for someone else to schedule an appointment. If you are unable to give us 24 hours advance notice you will be charged a $50.00 cancellation fee for your appointment. This amount must be paid prior to your next scheduled appointment.

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