Appointment Request

Please view our office hours and then fill in the following form to request an appointment.
You will receive a confirmation call to verify, before any appointment is scheduled.

First Name

Last Name

Phone Number

Email Address

Date and Hour for Requested Appointment (Please check our office hours)

Month

Day

Year

Select Hour

AM / PM

Please tell us if you are a current patient, or are requesting to become a new patient.

I am a current patient at your office
I am looking to make an appointment to become a new patient

Optional Short Comments or Message

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

Please do not submit any Protected Health Information (PHI)

Office Hours

OFFICE HOURS

MONDAY

7:30-9:00am, 10:30-11:30am Adjusting

9:00-10:30- Reports

2:00-3:00pm, 3:45-6:00pm Adjusting

3:00-3:45pm- Consultations

TUESDAY

2:00-3:00pm, 3:45-6:00pm Adjusting

3:00-3:45pm- Consultations

WEDNESDAY

7:30-9:00am, 10:30-11:30am Adjusting

9:00-10:30- Reports

2:00-3:00pm, 3:45-6:00pm Adjusting

3:00-3:45pm- Consultations

THURSDAY

7:30-9:00am, 10:30-11:30am Adjusting

9:00-10:30- Reports

2:00-3:00pm, 3:45-6:00pm Adjusting

3:00-3:45pm- Consultations

FRIDAY: CLOSED for housecalls

SATURDAY: CLOSED

SUNDAY: CLOSED

Contact Information

General questions and Appointments: wellness@infinitehealth.biz ~ 603-753-4455 ext. 221

Dr. Sam Ayan: drsam@infinitehealth.biz ~ 603-753-4455 ext. 223

Insurance and Billing Questions: Hulya "Julie" Ayan: Hayan@infinitehealth.biz ~ 603-753-4455 ext.231

Fax: (603) 753-4475

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