Online Appointment Request Edward Liu 2123 N. Aurelius Road   Holt, Michigan.,  48842 ph: 517-699-2985

Patient Information * indicates a required field First Name: * Last Name: * Birth Date:  (mm/dd/yyyy)    Gender:  M F Confirmation: * Phone   Text   Email Address Line 1: Primary Phone: * Address Line 2: Cell Phone: City: Email Address: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming Zip:   Best time to call: Existing Patient: Yes   No Selecting Email or Text will allow us to automatically send you an appointment confirmation if we are able to schedule your appointment within your requested timeframe. Appointment Request First Available Appointment Monday Early Daytime Late Tuesday Early Daytime Late Wednesday Early Daytime Late Thursday Early Daytime Late Friday Early Daytime Late Saturday Early Daytime Late Check here to save your personal information on this computer

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