You may use the form below to send a secure, online well child check-up or Flu vaccine request to our practice. Our appointment request form allows you to request a specific provider, specific location and a general time and day of the week that best fits your schedule. We will do our best to match your request with an available time slot in our practice management schedule. Once we have identified an opening, we will contact you to confirm your appointment. Many insurances do not require a copay for a well-check, however, many also require one full year between checkups after the age of 3 years. Please check with your insurance company to confirm.
Please DO NOT submit appointment request for sick or emergency visits.