FOR NEW PATIENTS ONLY. If you would like to request a new patient appointment for your child, you may call our office or fill out the appointment request form below. One of our new patient coordinators will be happy to contact you to schedule an appointment!
***Please note:  We can only accept Medicaid for children who are diagnosed with a special need. 
*Please note:  This form is for NEW PATIENTS only. This form is not to reschedule or cancel an appointment. Please call our office to reschedule or cancel an appointment. Thank you!