Request An Appointment

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Request An Appointment

Please fill out a request to our Primary Care Clinics using this online form. After submission, one of our schedulers will contact you by phone within 24 hours to confirm your appointment or suggest a better time. Any requests made on Friday evenings or on weekends won’t be answered until the following Monday.

When requesting your appointment, remember to schedule at least 48 hours from the current time.

If you need to see a doctor sooner or have any questions about medical services, please call us at 712.265.2700.

Appointment Form

The following information will help us prepare your appointment. note the fields with a * (red asterisk) are required. If the patient and contact person are the same, please type “self” in the contact person field.