Make an Appointment Request Where do you want to make an appointment?*Select a LocationBehavioral Health Dr Deepti BhasinPediatric AssociatesPediatric Associates-SouthInternal Medicine (Doctor's Brantley & Ham)Family Practice Dr. TaubeReason for an Appointment*Yearly ExamShotsBlood WorkPhysicalSports PhysicalPlease note: You must call the office for any urgent care or any same day appointments.Patient Name First Last Are You the patient?*YesNoYour Name* First Last Phone*Please provide a phone number.How do you want to be contacted?*TelephoneEmailTextEmail* Enter Email Confirm Email Cell Phone*Please provide a number to confirm by text.Appointment RequestPlease give us an idea of what days and what time would work best for you.Perferred ProviderPlease Select a Location FirstPreferred DatePlease give us a date and time of day that works with your schedule.Date* Time of DayNo PreferenceMorningAfternoon2nd Alternative Date OptionPlease give us an alternative date and time of day that works with your schedule.2nd Date Option Time of DayNo PreferenceMorningAfternoon3rd Alternative Date OptionPlease give us an alternative date and time of day that works with your schedule.3rd Preferred Date Time of DayNo PreferenceMorningAfternoonWeb Privacy Policy This iframe contains the logic required to handle Ajax powered Gravity Forms.