On-line Appointments

Appointment Request Form
Please fill out the information form to the right to request an appointment.  Name, phone and email are required fields so we can contact you.

Initial Appointment 
For your initial appointment with Dr. Siemionow, please arrive 15 minutes before your scheduled appointment. This will allow us sufficient time to complete all of the necessary paperwork.

Referrals
Some health plans have specific rules you must follow in order to be seen by a specialist. If your health insurance company requires a referral from a primary care physician, remember that it is YOUR responsibility to provide us with the necessary referral information and documents. You must have this referral information with you during your initial appointment to be seen by the doctor.

Cancellations 
If you have to cancel an appointment, please call us as soon as possible, preferably at least 24 hours before your scheduled appointment. This enables another patient to have your time slot.

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