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Book & Release Scheduling
Fill out the information below, pick two dates and times that work for your schedule, staff will contact you to confirm your appointment.
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Email *
First & Last Name
Phone Number
DOB *
Alleged Charge(s) *
First Choice Date *
MM
/
DD
/
YYYY
First Choice Time
Use the chart to identify the available times for FIRST the date you have chosen - select up to two timeslots
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Second Choice Date *
Select a date from the calendar
MM
/
DD
/
YYYY
Second Choice Time
Use the chart to identify the available times for the SECOND date you have chosen - select up to two timeslots
Captionless Image
A copy of your responses will be emailed to the address you provided.
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