The first step towards a beautiful, healthy look is to schedule an appointment. Please contact my office by phone or complete the appointment request form below. Tammy Miller, my office manager, will contact you to confirm your appointment.
My Office is Open:
                               Monday: 9-3
                               Tuesday: 8-5
                               Wednesday: 9-3
                               Thursday: 8-8
                               Friday: 8-4
                               Sat/Sun: Closed
Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information. *Please give us at least 24hrs notice for any cancelations*