Please note that the online submission form below is only an appointment request .  You will be personally contacted by one of our team to provide further instructions and verify your appointment.  Please allow 48 business hours for a response (you may call our office and select the option to speak to a member of our registration team if needed or have not heard back from us).  Also, please go to the "Patient Forms" page and begin working on the required paperwork if you are new with our office.

PLEASE TAB DOWN PAGE TO FULLY COMPLETE FORM UNTIL YOU REACH "SUBMIT" BUTTON.

As with other medical offices, we are doing our best transitioning to the required government regulations for electronic healthcare (including patient portals) so we do appreciate your patience with a process that most of us will find different than what we are accustomed to.  Even though new, it will provide you with a better overall experience and more efficient care at your office visit.

 Thank you!



If you need immediate assistance, please call our office at (256) 705-3000.
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