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Leave your contact details in the form and the Fusion team will contact you about scheduling.

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What happens next

Leave your contact details in the form. Our team will contact you about scheduling.

Your appointment is confirmed after you agree on a time with the clinic.

Choose your clinic in the form's Preferred Location field. Find a clinic

Keep the questions field brief and focused on scheduling. Please do not include medical records, insurance numbers or detailed medical information.

Having trouble with the form? Open it in a new tab (opens the Patch form in a new tab) or call your clinic.

Have a general question?

You can include it in the form’s questions field, or contact your clinic directly. Find a clinic