Appointments

Request Your Appointment

Complete the form below and our team can contact you to discuss available appointment options.

Appointment request

Fields marked are required.

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First name

Last name

Phone number

Email address

State

Where you’ll be at the time of your appointment. Availability varies by location.

Appointment type

Preferred contact method

Phone call Text message Email

Is this appointment related to a motor vehicle accident? (optional)
Tick this box if yes. Please don’t describe the accident or your injuries here.

I agree that Med First Clinic may contact me about this request using the details and contact method above, and I have read the Privacy Policy.

This form collects contact and scheduling details only. Please do not send medical history, symptoms or other health information through this website or by email. Submitting a request does not guarantee an appointment or create a provider–patient relationship. Appointment availability depends on your location, clinical appropriateness and provider availability.

This form is not for emergencies If you may be experiencing a medical emergency, call 911 or go to the nearest emergency department.

What happens next

We review your requestOur team looks at the type of appointment you’re asking about.
We contact youWe reach out using your preferred method to discuss available options.
You meet with a providerA licensed medical professional performs your evaluation.

Prefer to reach us directly?

Phone
Email
Hours

Referring a patient?

Attorneys, chiropractors and other referring offices can use our referral inquiry form.

Refer a patient