Unfortunately, we are not accepting new patients at this time. If you are interested in joining the waiting list, you are welcome to complete the form below. 

Request an Appointment with:
Requested Date:
Requested Time:
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Confidential E Mail Address:
Confidential Phone Number

I was referred to you by:

Pines Office Park
4829 East Beltline Ave. NE
Building 3, Suite 303
Grand Rapids, MI 49525
Phone: (616) 734-9417