Request a Consultation

Contact Us

Phone : (502) 996-4480

Email : [email protected]

After Scheduling Appointment

Please complete and bring the following to your appointment:

  • Insurance card and insurance coverage information
  • Driver’s license photo ID
  • Completed forms:
  • Patient Demographics
  • Female History
  • Male History (if applicable)
  • Medical Record Release
  • Insurance co-payment or self payment
    • We accept cash, personal check, MasterCard or Visa.