Book Your Appointment

Please complete all required fields to schedule your appointment with MedicExams.

Contact Information

Full Name

Email Address

Phone Number

Appointment Details

Preferred Date

Preferred Time

Service/Appointment Type

Preferred Staff Member (Optional)

Additional Information

Reason for Appointment

Notes/Comments

Client Type

How did you hear about us?

Medical Information

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Current Medications

Allergies

File Upload

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Consent and Agreements

I consent to medical evaluation and treatment as necessary I consent to receive appointment reminders and updates via email/SMS I acknowledge that I have read and agree to the Privacy Policy and Terms of Service