Appointment Request

Please view our office hours and then fill in the following form to request an appointment.
You will receive a confirmation call to verify, before any appointment is scheduled.

PLEASE NOTE:
Please include the desired location (Ballston Spa, Schuylerville or Rotterdam) in the comment box at the bottom of the form.

First Name

Last Name

Phone Number

Email Address

Date and Hour for Requested Appointment (Please check our office hours)

Month

Day

Year

Select Hour

AM / PM

Please tell us if you are a current patient, or are requesting to become a new patient.

I am a current patient at your office
I am looking to make an appointment to become a new patient

Optional Short Comments or Message

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

Please do not submit any Protected Health Information (PHI)

Contact Information

Ballston Spa/Saratoga
402 Rowland St.
Ballston Spa, NY 12020
518.363.0202

Rotterdam
834 Duanesburg Rd. (Rt. 7)
Across from Schalmont Middle School
(518) 982-1492

Office Hours

Ballston Spa Office
402 Rowland St.
518-363-0202
Monday-Thursday
8AM-11AM, 2PM-6PM

Rotterdam Office
834 Duanesburg Rd.
518-982-1492
Mon 8-11AM & 2-6PM Tues 2-5:30PM