Scheduling your Appointment at Optimum Healthcare

Please complete the following form to request any appointments. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.


Please reach out to our office with any questions regarding setting up or rescheduling your appointment here.

If you are in need of New Patient Paperwork or other office forms click here.

Please be aware of our Appointment Cancellation/No Show Policy below.







Cancellation Policy/No Show Policy For Appointments

1. Cancellation/ No Show Policy

We understand that there are times when you must
miss an appointment due to emergencies or obligations for
work or family. However, when you do not call, text, or
email to cancel an appointment, you may be preventing
another patient from getting much needed treatment.
If an appointment is not canceled at least 24 hours in
advance you will be charged a
non-refundable fifty dollar ($50) fee; this will not be
covered by your insurance company .

2. Scheduled Appointments/ Late

We understand that delays can happen however we
must try to keep the other patients and doctors on time.
If a patient is 15 minutes or more past their
scheduled time we will have to reschedule the