Waiting List Request for LOTIS
If the day & time you wish to schedule is not available on our scheduling app, please request it on this waiting list. You will be contacted should the day & time become available. (Request is not a guarantee of an appointment.)
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Email *
What date are you requesting an appointment for? *
MM
/
DD
/
YYYY
What time are you requesting the appointment for? *
Time
:
What is your name? *
What is your cell phone number? *
Submit
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