|
This section allows you to request an appointment
online with Dr. Sears. If you believe that you
have an emergency, immediately call 818-784-8481
for an appointment, or, if truly warranted, dial
911.
Please complete the following form and an office
representative will follow up with you regarding
your request. Please note that:
-
An appointment secretary
will contact you within one working day to
schedule your appointment, between 8:30 am
and 4:30 pm.
-
Depending upon the time
of your online request, the secretary might
contact you on the next business day.
-
If your insurance requires
a referral, please bring it on the day of
your visit.
-
You are hereby advised
that information transmitted online via this
form cannot be guaranteed to be secure. Online
communications are subject to interception
by third parties who may be under no obligation
to keep such communication confidential. Thus,
do not transmit sensitive or confidential
information via this form. You may, alternatively,
contact us at 818-784-8481 to inquire about
your appointment request.
Appointment
Request Form
|