Doc Sandford Waitlist

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If you would like to be contacted when cancellations occur, please provide your information below.

We're using this lower tech version while the IntakeQ scheduler system adds a new waitlist function.

When a cancellation happens, we will email and/or text all matching people with the notification, filled on a first-come basis.

Email *

Visit type requested: *

New Patient - Online visit (60 or 90 minute)

New Patient - In-person visit (60 or 90 minute)

Return Patient - Online 60 Minute

Return Patient - Online 30 Minute

Return Patient - Online 15 Minute

Return Patient - In-person 60 Minute

Return Patient - In-person 30 Minute

Required

Note: Doc Sandford has in-office clinic hours less than 4 days per month, thus online visits do come available more frequently.

Your name *

Phone number *

E-mail *

Expiration date for request

When should we stop emailing you about openings?

YYYY

Do you have an existing appointment that would need to be cancelled? *

Yes

Additional comments

A copy of your responses will be emailed to the address you provided.

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