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Request an Appointment

To request an appointment, please fill out the form below.

 

We will contact you by the next business day to confirm your appointment.

 

 

Day Fort Collins Office   Loveland Office
  Dr. Burns Dr. Knutsen Dr. Schulte Dr. Knutsen Dr. Schulte
Monday - - 11am - 6pm 8am - 12pm
1pm - 5pm
-
Tuesday 12pm - 5pm 8am - 12pm - - 8am 12pm
1pm - 5pm
Wednesday 12pm - 5pm - 8am - 11am 8am - 12pm -
Thursday - 8am - 12pm 12pm - 6pm 1pm - 6pm -
Friday - 1pm - 5pm 8am - 12pm 8am - 12pm 1pm - 5pm

Please give us your full name?   Please enter a phone number to contact you (Required)
 
     
What is a good time to contact you?   Please enter an e-mail address to contact you (Optional)
 
     
Have you been seen in our office before?   If you have a specific date, please enter below
Yes     No  
     
What time of day do you prefer?   What day(s) of the week do you prefer?
  Monday  Tuesday  Wednesday  Thursday  Friday
     
Select Office(s)   Preference of Doctor
 
     
What is the reason for your visit?   Please indicate your insurance (if any) and if a referral is needed from your Primary Care Physician
 

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