APPOINTMENT REQUEST FORM

This form is for non-emergency appointments only.

By agreeing to the terms of our Online Appointment form, you will enter a secure area of our site. OMNI Medical Care will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by OMNI Medical Care.

Your request will be processed within 24 hours, during normal business hours, Monday - Friday, 8:30 am - 5:00 pm, excluding holidays.

If you do not accept the terms of this disclaimer, you will not be able to process your request on-line.

To accept these terms and access the forms:

[ AGREE ] [ DISAGREE ]