In the menu below, select the “Reason for Visit”

On the next page, select your preferred date for an appointment. A calendar with provider availability will appear. If you do not see your provider, select another date until you see their availability. You may also click the “Search” icon on mobile, or the “provider” dropdown left of the calendar on desktop, to filter appointments by provider. 

Once a day is selected, time slots will appear. Choose one that works best and you will be sent to the next page.

Insert all required information that matches the information in your chart. Including your first & last name, date of birth, phone, and email. 

If you have new insurance information, list the Insurance Provider, Name on the Plan, Member ID number, and Group number in the box provided. If not, write N/A.

Write a brief summary of the reason for your visit in the “Additional Notes” box.