Virtual Consult

We have set up a program to provide Virtual Consults when a onsite visit is not possible.  By filling out the information below, we will contact you and help you arrange a virtual consult which can include video conferencing with Dr. Shatkin and staff, as well as sharing your photos to help the team assess your concerns.  Please fill out the information below if you are interested in setting up a virtual consult.  Our administrative team will get back to you soon.
Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials

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