Move Mountains Medical Mission (M7) March 27, 2024 at our Wise Clinic 8am to 4pm. March 28, 2024 at our Clintwood Clinic.

Schedule an In-Person Appointment

Thank you for using our online Appointment Request, please complete the form below.

Once the form has been submitted someone will contact you within 24-48 hours to confirm your appointment. Confirmation of the appointment will be done off-line with the secretary.

Are you a New Patient

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First Name

Last Name

Street Address

Street Address 2

City

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Phone Number

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Do you have Insurance

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Provider

Requested Date

Time

Reason for Visit

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