APPOINTMENT REQUEST

APPOINTMENT REQUESTS

This appointment request form is intended for non-surgical treatment inquiries. If you are interested in a surgical consultation, please click here to get in touch.

First name

Last name

Birthday

Month

Day

Year

Phone

Email

Address

Do we have your consent to call you with automated appointment reminders? (Associated data and cellular charges may apply).

Yes

No

Do we have your consent to text you with automated appointment reminders? (Associated data and cellular charges may apply).

Yes

No

Are you a:

New Patient

Existing Patient

Preferred provider:

Dr. Chelsea Obourn

Eleni Filios, PA-C

Noelia Contreras, LE

Any

What are your preferred day(s) and time(s) for your appointment(s)?

We appreciate you taking the time to submit your request. Our team will be in touch within 24-48 business hours to coordinate next steps.

If you would like to explore sooner availability, please call our office at (585)905-3414 and we will be happy to assist you.

HOURS OF OPERATION:

SUNDAY: CLOSED

MONDAY: 8:30 AM - 5:00 PM

TUESDAY: 8:30 AM - 5:00 PM

WEDNESDAY: 8:30 AM - 5:00 PM

THURSDAY: 8:30 AM - 5:00 PM

FRIDAY: 8:30 AM - 4:00 PM

SATURDAY: CLOSED

ADDRESS:

229B PARRISH STREET

SUITE 260

CANANDAIGUA, NY 14424

PHONE:

(585)905-3414