Request an Appointment - NEW CLIENTS ONLY

If this is an emergency, call:

NOTE: If you are NOT using insurance, please schedule here.

Existing clients can reschedule here.

Client Information

First name

Last name

Email address

Phone number

Insurance Plan

We accept: Blue Cross Blue Shield and McLaren (commercial only)

Insurance Member ID

Insured's Name

Date of Birth

mm/dd/yyyy

Additional information

If there's anything else that you would like me to know prior to your appointment, please include it here.

Your information will be encrypted.