Telemedicine Appointment Request

Do not use this form in case of an emergency. Should you need immediate assistance please contact us at 1-800-331-6634.

Please complete this form if you are an existing patient and requesting a telemedicine visit.  

If you would like to schedule an office visit or make changes to your existing scheduled office visit please call 1-800-331-6631.  Do not use the Telemedicine request form. 

We will respond to your request within 1 business day. Office hours are Monday-Friday 8am-4pm.

  **telemedicine appointments are not available for new patient visits.

Telemedicine Documents