Let's get you scheduled.

Request your visit using the form below and our scheduling team will reach out to confirm a time that works for you. Prefer to talk? We're always happy to hear from you by phone.

This form needs JavaScript to send your request securely. Please call us at (269) 428-3300 and our scheduling team will be glad to help.

Your Information

Tell us who we'll be caring for.

First Name *

Last Name *

Date of Birth *

Phone *

Email *

Are you a…

Your Visit

Share a few details so we can match you with the right doctor and office.

Preferred Location *

Reason for Visit

Preferred Doctor

Preferred Timing

Anything else we should know?

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Request received — thank you!

Our scheduling team will call to confirm your appointment during regular office hours. Please watch for a call from a (269) or (574) number.

Need to be seen sooner? Call (269) 428-3300