Choose Your Top 3 Preferred Dates (Monday-Thursday 8 am – 4 pm; Friday 8 am – 12 pm). Please request dates at least two weeks in the future to ensure we can accommodate. We do maintain an active waiting list for slots that become available earlier.
To process your request, we need additional documentation. Please upload a copy of your photo ID. If you have insurance, please upload a copy of the front of your insurance card and a copy of the back of your insurance card. (Please submit a horizontal photo)
Only hit the SUBMIT button once. Upon receiving your completed form, your photo ID and the front and back of your insurance card (if applicable), a team member will contact you within the next 2-4 business days