Dr. Alex Tapplin, Appleton Location (Tuesday, Thursday)
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Type of Visit
Select Service
New Patient with Kelly
New Patient with Alex
Established Patient with Kelly
Established Patient with Alex
Office
Dr. Alex Tapplin-Association Drive
Trina-Association Dr
Dr. Kelly Ashbeck-Association Drive
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
20 minutes
Submit Appointment Request
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