Request an Appointment

We offer two convenient ways to request an appointment.

To request an appointment you can either:

Call or text us at 541-264-7726.
Or submit the form below with a requested date. A staff member will reach out and schedule a time as close to your requested time as possible.

We hope to see you soon!

Contact Information
Please provide current contact information so that we can contact you to confirm your appointment.
Name*
Phone*
Email*
Patient Status
- New Patient
- Existing Patient
Date & Times
Please be aware that appointments must be requested at least 1 day(s) in advance.
Preferred Date*
MM slash DD slash YYYY
Alternate Date
MM slash DD slash YYYY
Time*
Comments
Important: Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.