Provider Scheduling Information

Using the Online Order Form:

• Click HERE to open the online order entry screen in a new window
• Fill out all information the has an asterisk*
• After the necessary information is entered,    
  click “Submit”
• Once you click “submit,” no additional 
  editing can be done. If you realize you made 
  a mistake, you can resubmit a new order.
• Our goal is to reach the patient as soon as 
  possible. If we cannot reach them within 
  three (3) business days, our scheduling 
  department will notify you.
• When we reach the patient, you will receive 
  a reply with the patient’s appointment 
  information.

We must have your email address or phone number to notify you of the confirmation.

Click HERE to view required patient information.