Dr. Gotham
All fields are required
Type of Visit
Existing Patient Visit (10 minutes)
New Patient 1st Visit (40 minutes)
Spine Relief Training 1st Visit
Spine Relief 30 minutes
Personal Training 1st Visit
Personal Training 30 minutes
Personal Training 60 minutes
Massage 30 minutes - booked online
Massage 60 minutes - booked online
Office
Dr. Gotham
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
8175 Creekside Dr., Suite 110 Portage MI 49024
8175 Creekside Dr., Suite 110 Portage MI 49024
New and Existing patients can make appointments online.
Office Phone:
+1 269-324-5000
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
10 minutes
Submit Appointment Request
You will receive an email confirmation.
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