General Contact or New Consultation Request 

Please Note: 

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* New Consultation Requests & Referrals: Please fill out the New Appointent Request form Attached below. 

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* Completing an initial consultation request or referal does not constitute establishment of a doctor patient relationship, nor does it guarantee treatment. If you are accepted as a patient, you will be notified of next steps. 

 

* PLEASE DO NOT SEND ANY URGENT OR EMERGENT REQUESTS. IF YOU HAVE AN URGENT / EMERGENT REQUEST PLEASE CALL 911 & GO TO YOUR NEAREST EMERGENCY ROOM. *