Important – Please Read Before Proceeding

Submission of this intake form does not confirm an appointment.

By proceeding to book, you acknowledge that:

You will be required to review and accept all payment, scheduling, and cancellation policies
Payment policies are strictly enforced
Appointments are confirmed only after policy agreement and payment completion

Please click the Submit Form button to proceed to the Patient Contract which will take less than 2 minutes to complete - you're almost there!