Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

  • Please complete the following form to request an appointment. Please also note that you will need to call the office at 505-982-4686 as we require a $60.00 deposit to secure your appointment. (The $60.00 will go towards your initial visit). Your appointment will be confirmed by phone by a member of our staff. Thank you!
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