Request House Call
This form is for new patients who are interested in scheduling a house call appointment.
Please note that additional information must still be obtained by our staff to fully register a new patient with our system after this form is submitted. A VIP2U representative will contact you by phone or email within one business day to complete the registration process.
For immediate assistance regarding a current patient, please call our office during business hours.
Disclaimer: Email sent to and received from may not be secure, please use discretion in deciding which information you send to us via email.