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Appointment Request Form

Step One:
Fill Out Online Patient Forms

Step Two:
Request Your Appointment Online

Please fill out this form before requesting an appointment.

New Patient Scheduling Form

Please fill out this form if you have an upcoming annual exam.

Annual Exam Form

Looking to schedule or change an existing appointment within the next 48 hours?

Please call the office & speak to a staff member.

TROY: 618-667-2020
EDWARDSVILLE: 618-655-3937




We will CONFIRM your appointment REQUEST within 48 hours of the REQUEST.

Appointment is not "on the books" until you receive a CONFIRMATION