Request an Appointment To request an appointment, please complete the form below. You can also text us at (334) 664-0463. Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!NamePhone*Email* Preferred Date* Preferred TimeMorningAfternoonEveningNature of VisitNameThis field is for validation purposes and should be left unchanged.