To request an appointment with Dr. Lam just complete and submit the form below.
For urgent requests, please call Dr. Lam's office at 800-098-0987..
Dr. Lam is all available for new patients.
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PM |
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| Third Choice: |
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| * Reason for Appointment: |
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| * Reason Urgency: |
Routine
Semi-Urgent - Within 1-2 Weeks PLEASE CALL 800-098-0987
Urgent - Within 1-2 Days PLEASE CALL 800-098-0987
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Reason Details - optional
all information is confidential
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| How Should We Contact You? |
E-MAIL - we will use email address provided below
PHONE - we will use phone number provided below
EITHER ONE - we will use email address or phone number provided
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| * Returning Patient or New? |
RETURNING
NEW
If New... How did you hear of us?
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| * First Name: |
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| * Last Name: |
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| * Email: |
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| * Primary Phone: |
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| Additional Phone: |
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Best Time to Call:
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AM
PM
Either AM or PM
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PLEASE ALLOW ONE BUSINESS DAY FOR DR. LAM'S OFFICE TO ACT ON YOUR REQUEST.
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