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Book Your Appointment

Please fill out this form to book the appointment. All fields must be filled out.

Select a Service and a Care Clinic+
1. Assessment: +   
1. Service: striper Service+  

This location is currently not available for appointments. Please select a different location

2. Clinic: +  
2. Clinic: striper LOCATIONe+  
No pharmacy Selected!
Practice:
Doctor:


Select a Service Date and Time+
Step 4: Select a Time+  
4. Time: striper TIME+  

Your appointment will be approximately XX minutes long
Please select a time of the day

Please pick another day & time.


Reminder Method and Patient Information+
Step 5: Reminder Method/ Contact Info+  
5. Reminder: striper REMINDER+  

You will receive a reminder 24 hours before your appointment. Would you like to recieve the reminder by email or a text message (SMS)?
Next
Step 6: Patient Information+  

Please fill out information for the patient requesting the appointment.
Continue
Patient Details And Login/Create an Account+
Step 7: Patient Details - filled out+  
7. Reminder: striper REMINDER+  

Continue
Step 8: Login/ Create an Account+  
8. Logged in: striper LOGIN+  

You will need to create an account or login before your appointment booking is finalized.
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After visiting a Care Clinic, an email is sent with a patient experience survey to receive feedback on your experience at the clinic. If you do not want to receive the survey, please opt-out here:

Signed in as: ,
Review & Finalize+
Summary / Finalize+  
Summary: striper SUMMARY+  

Appointment Summary

Appointment Type
 

Location
 

Address
 

 X


Phone
 

Date
 

Time
 

Reminder Method
 

Appointment Details
Appointment Type:
  Date:
  Time:
  Clinic Details
Location:
  Address:
  Phone:
 
 X


Important Information
Need to cancel or reschedule your appointment?
You can do that by visiting the main site and clicking on "View or Cancel an Appointment"