Please fill out the form below to request an appointment. We will contact you within 24 hours or the next business day.

This form should not be used for urgent care matters or potentially life threatening conditions. In those situations, please contact 911 or head to the nearest InstaCare or emergency room.

If you can't make your appointment, call 801-408-6100 to reschedule. Don't use this form to cancel a clinic appointment.

*
*
*
*
*
*