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Online Appointment Requests

Too busy to call to make an appointment? Make an appointment request online. We will call you back within 48 hours to help schedule a time that fits in your schedule.

Please note: Appointment requests are not intended for sick visits or messages to the doctors. Please call our office directly so we can assist you with making same day appointments or leaving messages for your doctor.

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* Are you a new patient?
If patient is a minor please include the parent/guardian's name who should be contacted.
I authorize Rush-Copley Medical Group to leave me a message regarding scheduling my appointment at this preferred method of contact.

Appointment Preferences

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