You can submit our Telemedicine Form in two ways:

1) Print and fill out our Telemedicine Form here. You must bring the form printed and filled out on your next visit.

Or

2) Fill out our form online:

TELEMEDICINE REQUEST FORM

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    OFFICE HOURS

    Monday – Friday:
    8:00am – 6:00pm

    Saturday:
    9:00am – 1:00pm

    Sunday:
    Closed