On Time Check In


It is said that there is no time like the present. We totally agree and most appreciate your presence in our office. So when you arrive ON TIME for your appointment, please enter your name below and click submit. You will be entered into our monthly “ON TIME” drawing and have an opportunity to win movie passes.


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Please note that e-mail is not a secure form of communication. Medical information placed here may not be confidential. Please use this form to send your contact information, and we will respond to your inquiry using a secure method. This form should not be used by children under the age of 18. If you prefer to speak to us directly you are also welcome to call us so that we may assist you.