AppointmentRequest

Request An Appointment

Thank you for your interest in our clinic. We look forward to assisting you.

Please fill out the following form and allow 1 to 3 business days for a response.

If you are a returning patient, click here to go to your Epic MyChart account

to request an appointment. You can sign up for an account if you don't have one already.

First Name

Last Name

Phone

What is your preferred availability for a call back?

Morning (8am-11am)

Afternoon (12pm-2pm)

Evening (3pm-5pm)

Please indicate the urgency of your appointment request

Immediate (Same Day or Next Day)

Urgent (1 week turnaround time)

Routine (2 - 4 week turnaround time)

Immediate: For severe symptoms or concerns that feel urgent and cannot wait.

Urgent: For new or worsening symptoms that should be evaluated soon but are not life-threatening.

Routine: For regular check-ups, follow-ups, annual exams, result discussions, or non-urgent concerns.

Note: This helps us schedule you appropriately. Please choose the option that best describes your situation.

Which doctor are you requesting an appointment with?

Dr Vatsan

Cassie Sewald

Thanks for submitting! You will receive a call from our office confirming your appointment.