accessibility ACCESSIBILITY
Call: (360) 256-1777
The first step towards healthy feet is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. When e-mailing an appointment request please indicate medical health insurance plan so we may advise you of our participating status with your plan.

Please do not use this form to cancel or change an existing appointment.
Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.