Online Scheduling

Schedule your visit.

Pick a time that works for you. We'll confirm your appointment within one business day.

Fill Out the Form → Or Call Us Directly

Mon-Thu 9am-5pm

Fri By Appointment

Telehealth Available

Request an Appointment

Tell us when works for you.

We'll call to confirm your appointment within one business day.

Your request goes directly to our care team at [email protected] — not a call center.

Contact Information

First Name *

Last Name *

Phone Number *

Email Address

Date of Birth *

Appointment Preferences

Type of Visit *

Preferred Date *

Preferred Time *

Second Choice Date

Insurance Information

Insurance Plan *

Insurance Plan Name

How Did You Hear About Us?

Special Requests or Questions

If your email app didn't open, you can reach us directly:

[email protected] • (276) 345-4304

This form sends a scheduling request via email. Please do not include diagnoses, medication names, or other protected health information. Our staff will call you to confirm your appointment and collect any necessary medical information securely. Submitting this form does not guarantee an appointment. Email is not an encrypted communication method. By submitting, you consent to being contacted at the phone number or email provided.

Need to schedule urgently? Call (276) 345-4304 directly.

Find Us

Come see us.

We're here when you need us

Address

113 Short Street, Suite 5
Pounding Mill, VA 24637

Phone

(276) 345-4304

Hours