This request form is for EXISTING CLIENTS ONLY. New clients will need to call us so we can get a New Patient Form on file before requesting an appointment here. New Clients will not be responded to here.

Filling out this form is just a request, it is NOT a confirmed appointment. A member of our team will contact you to confirm the appointment.

You may also contact our office at (347) 719-7190 or email us at [email protected].

***We require at least 24 hours notice for appointment cancellations.***