* Required information
Appointment Information
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| Last Name* |
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| First Name* |
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Phone Number*
(where you can be reached within the next hour) |
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| Email Address* |
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| Are you an existing Athlete's Care Patient?*
Yes
No |
| Clinic Location* |
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| Service Requested* |
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| For appointments with a sports medicine doctor, or any other service, please call the location you wish to attend. |
| Preferred Date* |
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| Preferred Time * |
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| Additional Comments: |
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Athlete's Care enforces a 24-hour cancellation policy for all missed appointments. A cancellation fee is applied as a missed appointment prevents other patients from scheduling appointments at that time.
I accept the above Cancellation Policy.*
Yes
No |
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