Use this form to make an appointment, request laboratory results, copies of your medical record or immunizations, medication refills or send us a message. Please note that if you need an appointment today or tomorrow, it is best if you call the office, rather than use this form. This form is for appointments, like well visits, sports physicals and follow up visits, that need to be made in the future. Please note that not all providers are in every day, and we may need to arrange for certain supplies, like vaccine, to be available for your visit. So if we have trouble meeting your choice of date and time, we will call or email you.