Request an appointment

Use the web app above to request a consultation or new patient appointment. Provide the patient’s full name, date of birth, best phone number for contact, and brief reason for requesting an appointment ( for example, “kidney stones” or “leaking urine”). Requires a valid e-mail address. This form is for requesting a new appointment only and is automated. We will not respond to requests for appointments or any medical questions by email, but our staff will reach out to you by phone to confirm a date and time for appointment as we scheduled it with you. Any medical questions or other requests should be directed to our clinic at 270-789-2445 during regular business hours, 9:00am-4:00pm EST M-F.

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