Request An Appointment
The following form creates an appointment request only, not a confirmed appointment. Upon completion of this form, a representative will contact you to assist with scheduling an appointment, or call (765) 973-9294.
For assistance call 765.973.9294
Appointments – Press 1
Triage Nurse - Press 2
Immunizations – Press 3
Medication Refill – Press 4
Dental Appointments – Press 5
Spanish Interpreter -Press 7
After Hours On Call – Press 9
To speak to an Operator – Press 0
The following form creates an appointment request only, not a confirmed appointment. Upon completion of this form, a representative will contact you to assist with scheduling an appointment, or call (765) 973-9294.