Clinical Inquiry

Clinical Inquiry

Our office can only support limited scope of clinical inquiries through this form. An on-calll clinical staff will review your inquiry in the order they are received. Please allow 24 - 48 hours for a response.

Our office reserves the right to decline answering questions here, as it is not a substitute for addressing your medical questions in a formal appointment setting scheduled with one of our clinicians. That is the standard of care for most physician offices. Thank you for your understanding.

Your Name (Last, First)*

email*

phone number *

Phone

please briefly describe your inquiry*

topic of inquiry*

select a topic from the dropdown menu.

Upload photo (optional)

use this option to upload any picture that helps us better understand your condition described in this inquiry

Drag and drop files here or

Is this a follow up to a recent appointment with either Dr. Lai or Mary?

Select or enter value

date of your most recent office appointment*

enter the date of your most recent PAST office visit

would you like someone from the office to contact you to schedule an appointment with a clinician at the earliest possible time to address this adequately during a scheduled appointment?

check the square below

Send me a copy of my responses

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