Appointment Request Form Current patients are invited to request appointments online through our patient portal.To schedule an appointment please call 800-REBOUND or fill in the form below. We will respond to online appointment requests made over the weekend on Monday. Requests made after 3pm will be answered the following business day. Please call us if you need an urgent appointment. Patient Name*FirstLastYour Name (If different from patient)FirstLastYour relationship to patient (If applicable)Phone*Alternate PhoneBest time to call : HHMMAMPM