Appointments Our upcoming Saturday morning appointment dates are: September 26 – Dr. Maya only October 10 – Dr. Maya only October 24 – Dr. Maya only November 14 – Dr. Maya only Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!NamePhone*Email* Preferred Date* Date Format: MM slash DD slash YYYY Preferred TimeMorningAfternoonEveningPreferred Provider Dr. Steven Jackson Dr. Nick Ribar Dr. Maya Doroschak No Preference / First Available Nature of VisitCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.