Video Conference Scheduling

Please complete this form to schedule your video conference / telehealth appointment.

Request or schedule your appointment date online by filling out the Appointment Scheduling Request Form below and you will be contacted within 48 hours to confirm your date. Note: Do not use this form for an emergency!

  • Please choose preferred consultation: in-office, phone, or video conference.
  • Phone and video conference consults are held Monday-Friday between 4:00-5:00pm PST for the Americas and 12:00pm-1:00pm PST for Europe, Asia, Africa, and Australia.
    MM slash DD slash YYYY
  • Max. file size: 50 MB.
  • Max. file size: 50 MB.
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