Scheduling an Appointment

Get Your Life Back.

Use the form below to request an appointment with a specialist.

You can also speak to a team member directly by calling (716) 539-2902.

What type of appointment do you prefer?

Telehealth Appointment In-Clinic Appointment

Your Name *

First Name Last Name

Date of Birth

Month Day Year

E-mail Address *

Phone Number *

Area Code Phone Number

Which office do you prefer?

Choose your best location:

What is your insurance?

What time and days work best for you?

Days of the Week

Time of Day

Additional Information

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