New Patient Appointment Request For new patient appointments, please text 704-443-0006 indicating your preferred day of the week and time of day. Or fill out the form below to email your request. Please enable JavaScript in your browser to complete this form.Patient Name *New Patient?YesNoEmail *PhonePreferred DaySelect an OptionSelect an OptionMondayTuesdayWednesdayThursdayAny DayConvenient TimesSelect an OptionSelect an OptionMorningLunchAfternoonHow did you hear about our practice?Select an OptionSelect an OptionAdvertisementFriendInternetChurchSchoolFacebookInsuranceCommentsSubmit72603