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Request an Appointment

Please let us know which provider you prefer(if any), along with a few days and times that you are available for appointments.

Contact information

First Name
Last Name
Phone

Appointment details

Preferred Date
Alternative Date 1
Alternative Date 2
Time
Reason for Appointment
Preferred Provider
Comments and Questions
Maximum of 250 characters

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

1525 Hausman Rd
Allentown, PA 18104

Mon: 9:00AM - 5:00PM

Tue: 8:00AM - 4:00PM

Wed: 9:00AM - 5:00PM

Thu: 9:00AM - 6:00PM

Fri - Sun: Closed