Request an Appointment

Request an Appointment

Please fill out this form to request an appointment, or call (509) 547-2204. Please keep in mind that your appointment is not scheduled until a member of our team has reached out to you to confirm. 

If this is a medical emergency, call 911 or go to your nearest emergency room. 

Patient Information
Parent or Guardian Name (if the patient is under 18)
What kind of appointment are you hoping to schedule?(Required)
Appointment time preference(Required)
Please Read & Acknowledge(Required)