Appointment Request Form

All requests are reviewed during normal business hours and confirmed as quickly as possible. Submitting this form does not guarantee a reservation.

If a response is not received within your required time period or if this is an emergency, please call us at (304) 594-1124.

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Payment is required on the day services are provided. We accept cash, checks, VISA, MasterCard, and Discover. If you have concerns about your charges, please request an estimate prior to receiving services or call (304) 594-1124.