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Please request an appointment with our office using this form. Our Appointment Coordinator will contact you as soon as possible for detailed information about your visit upon receipt of your form submission.
Name:
Phone:
Email Address:
Is there a specific date that you would prefer?
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What day of the week would you like to come in?
Monday
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What time do you prefer?
Morning
Lunch
Afternoon
Please describe the nature of your appointment :
At the Foot and Heel Pain Institute of Michigan, we have a special interest in heel pain, diabetic foot care and wound healing.
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