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Appointment Request Form

Please note doctor’s schedule:

  • The doctor examines patients on Wednesdays and Fridays.
  • The office is open 6 days a week but Dr. Cross gives patient care on Wednesdays and Fridays only.
  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page. The office is open 6 days a week but Dr. Cross gives patient care on Wednesdays and Fridays only.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.