Please fill out the appointment request form below for an appointment with a Primary Care Provider. All requests will being processed during regular office hours Monday through Friday. We will contact you as soon as possible to schedule your appointment.

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 emergency room.

Do not use this form to cancel appointments. Please call (801) 357-7930.

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Merrill Gappmayer Request an Appointment

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.

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