Appointment Request

To request appointment availability, fill out the form below or contact our office directly by phone. Our staff will contact you to confirm your appointment.

Fort Wayne:      Tuesday, Thursday & Friday

Columbia City:  Wednesday

Is there a specific date that you would prefer?
- -

Is there a specific time that you would prefer?

What day of the week would you like to come in?

What time of day do you prefer?

Please describe the nature of your appointment: