Contact Us and Request An Appointment

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To request an appointment, please fill in the form on this page and we will email or text you a Confirmation page or an Alternate Appointment page within one hour of submission.

New Patients and Returning Patients Must Choose from the following:

Monday to Thursday

9 AM - 1 PM


4:30 PM - 7 PM


9 AM - 1 PM

Please add to your request:

1. Phone number

2. Date/Day Requested (see choices above)

3. Time Requested (see choices above)

4. Insurance Plan

* You will also be emailed a copy of our New Patient Forms.

**You may also use this form to ask a question of the doctor.

GPS ADDRESS: 1244 W. Hamilton Street Suite 102 Allentown PA 18102