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Online Appointment Form
  Dr. Jennifer Lam
 

Online Appointment Form

To request an appointment with Dr. Lam just complete and submit the form below.
For urgent requests, please call Dr. Lam's office at 800-098-0987..
Dr. Lam is all available for new patients.
First Choice: AM PM
Second Choice: AM PM
Third Choice: AM PM
* Reason for Appointment:
* Reason Urgency: Routine 
Semi-Urgent - Within 1-2 Weeks  PLEASE CALL 800-098-0987
Urgent - Within 1-2 Days  PLEASE CALL 800-098-0987
Reason Details - optional
all information is confidential

How Should We Contact You? E-MAIL - we will use email address provided below
PHONE - we will use phone number provided below
EITHER ONE - we will use email address or phone number provided
* Returning Patient or New? RETURNING   NEW
     If New... How did you hear of us?
* First Name:
* Last Name:
* Email:
* Primary Phone:
Additional Phone:
Best Time to Call:
AM   PM   Either AM or PM

PLEASE ALLOW ONE BUSINESS DAY FOR DR. LAM'S OFFICE TO ACT ON YOUR REQUEST.

Forms to download before your first visit:

 

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