Home » Appointments » Schedule an Appointment Schedule an Appointment "*" indicates required fields Topic*Please select your reason for inquiry.Schedule An AppointmentBilling MattersGeneral InquiriesSchedule an AppointmentYou can schedule an appointment online, or by calling our Centralized Scheduling number: 804-266-9616 (Option 1) Please fill out the form below as completely as possible. **Important: Please allow at least 24 hours for scheduling to return your call to book the appointment. For next day or same day Sick Visits, please call our office Mon - Fri, 7:00am - 5:00pm (4:30pm on Fridays).Child's Name* First Last Child's DOB* MM slash DD slash YYYY Call Back Number*Type of Appointment*(Select one)Check upNew PatientMedication CheckPreoperativeSick VisitFollow Up VisitPreferred Location*(Select one)VCC - Virginia Center CommonsWest End - John RolfeEast End - LaburnumProvider Requested*(Select one)First availableSasha Gray, C-PNPMeagan Dowling, CPNPErin Johnson, CPNPSara Johnson, FNP-CSamantha Maciolek, FNP-CDr. Anselmo, DonnaDr. Bartholomew, TheresaDr. Chun, WalterDr. Couch, BriannaDr. Fortner, JulieDr. Goradia, LauraDr. Gorla, LivDr. Marks, JonDr. Port, CarolynDr. Seedlock, KyleDr. Shook, JanaDr. Tull, AnnemarieDr. Winters, CleomePreferred Day(Select one)MondayTuesdayWednesdayThursdayFridayPreferred Time(Select one)MorningAfternoonEmail* Additional CommentsBilling MattersPlease fill out the form below as completely as possible.Email* Child's Name* First Last DOB* MM slash DD slash YYYY Account Number Insurance Carrier/ID Number Call Back Number*Comments or QuestionsGeneral InquiriesPlease fill out the form below as completely as possible.Name* First Last Email* Phone Number* Subject* Message*EmailThis field is for validation purposes and should be left unchanged. You can schedule an appointment online, or by calling our Centralized Scheduling number: 804-266-9616 (Option 1) Our Locations