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Request An Appointment

Please complete the following form to request an appointment. Appointment times are 9:00 a.m. through 11:30 a.m. and 2:30 p.m. through 4:30 p.m. Availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Please allow for at least 24 hours for a confirmation call from us. If this is an emergency or you would like to try and make a same day appointment please call us at 512-321-0506. (PLEASE NOTE: completion of this form does NOT guarantee an appointment. Crossroads staff must verify the appointment by phone.)