COVID Clinic
All fields are required
Type of Visit
Consult / New Patient
Checkup / Existing Patient
Pain / Existing Patient
Emergency / Existing Patient
Other / Existing Patient
Office
COVID Clinic
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:
1111 Delafield Street, Suite 1 Waukesha WI 53188
1111 Delafield Street, Suite 1 Waukesha WI 53188
New and Existing patients can make appointments online.
Office Phone:
(262) 875-4892
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
45 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment