We appreciate you taking the time to fill out a quick form so that we may serve you better.


Online booking is for new patients only, if you are an existing patient please call the office at 205.419.1595 to schedule an appointment.

Name *
Phone *
Type of appointment? *
What type of appointment are you requesting?
Will you be using insurance? (We are in network with BCBS and Viva) *

*Failure to cancel New Patient appointments with in 24 hours will result in a $125 cancellation fee.