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Book Exam
1/2 block south of Ben White on the east side of Menchaca Rd (next to Valero convenience store)
Home » Appointment Requests

Appointment Requests

Appointment Request Form

Basic form for clients to request an appointment with the practice.
  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • $50 same day cancellation policy
  • This field is for validation purposes and should be left unchanged.


Due to the Winter storm and hazardous road conditions, our office will be closed on February 1, 2023.

If you had an appointment, we will reach out and get you rescheduled as soon as we are back in the office.