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Appointment requests

This form should not be used in emergency situations. If this a true emergency you should visit a local emergency room.

Please note that this form is NOT for communicating sensitive patient information or questions. It is to request a new appointment only.

About You

Si hablas español, necesitas traductora? *If you speak Spanish, do you need a translator?

Appointment Information

Are you a new or existing patient? *

Other Information

Locations

We have two convenient locations to serve you:

Hours of Operation

Our normal hours of operation: Monday - Friday, 8am - 5pm.

Please note that we are closed on the following holidays:

  • Memorial Day
  • Independence Day 
  • Labor Day
  • Thanksgiving Day and the following Friday
  • Christmas Eve and Christmas Day
  • New Year's Eve and New Year's Day

Phone

For questions, to reach a nurse, or to speak to a staff member, please call 205-838-3036.

Fax

Faxes can be sent from other offices to 205-838-5832.

MyChart

To schedule appointments, refill prescriptions, check lab work and more, login to MyChart online.