Appointment Request

Please view our office hours and then fill in the following form to request an appointment.
You will receive a confirmation call to verify, before any appointment is scheduled.


Date and Hour for Requested Appointment (Please check our office hours)

Please tell us if you are a current patient, or are requesting to become a new patient.


NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

Office Hours

South Bend Hours
574-251-0000
Monday 2/11/20119
5:45-7:00
Tuesday 2/12/2019
5:45-7:00
Wednesday 2/13/2019
CLOSED
Thursday 2/14/2019
  5:45-7:00
Friday 2/15/2019
10:30-11:45
 
Shipshewana Hours
260-768-9122
Monday 2/11/2019
12:15-4:30
Tuesday 2/12/2019
12:15-4:30
Wednesday 2/13/2019
CLOSED
Thursday 2/14/2019
12:15-4:30
Friday 2/15/2019
1:15-5:00

Call for an appointment today!!!