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Request an Appointment

Emergency/Same-Day Patients: If you are having an emergency or making a same-day appointment please do not use the form and instead call us directly. If your emergency is after hours, our voicemail will provide you with further instructions.

Contact information

First Name
Last Name
Phone

Appointment details

Preferred Date
Alternative Date 1
Alternative Date 2
Time
Reason for Appointment
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.

885 Western Ave
STE 300
Fond du Lac, WI 54935

Mon - Tue: 8:00AM - 6:00PM

Wed: 7:00AM - 4:00PM

Thu: 7:00AM - 6:00PM

Fri: 7:00AM - 1:00PM

Sat - Sun: Closed