Gastromed Healthcare now gives you the option of requesting an appointment
for either an office visit or a hospital procedure online. To do so, please
completely fill out the form below.
Patient Name:
Email:
Street Address:
City:
State:
Zip:
Phone:
Last visit:
Office
visit
Hospital
procedure
Comments:
Please take a minute to note our policy on appointments.
Send mail to
webmaster@gastromedhealthcare.com with questions or comments about this
web site. For medical questions, please click
here.
Last modified: January 22, 2005
