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New Patient Waiting List
Unfortunately, at this time, we are unable to schedule new patient appointments through our scheduling portal.
For scheduling, please fill out this form and we will happily reach out to you as appointments come available.
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First & Last Name
*
Your answer
Date of Birth
*
MM
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DD
/
YYYY
Contact Phone Number - Cell # required: notifications are sent out via text
*
Your answer
Email
*
Your answer
Have you ever been seen by Dr. Brooks?
*
Yes, within the last 3 years
Yes, but it's been over 3 years
No
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