Top Menu


Appointment Request for Current Members

This appointment form is for use of patients currently enrolled in Dr. Bunch's concierge medical care practice. If you are a new patient, please use this form instead to request your initial meeting.

Please do not use this form to contact me for a medical emergency! Please dial 9-1-1 right away. Otherwise, kindly fill in the form below and we will respond to your appointment request promptly. Do not include personal or medical information on this form.
  • Dr. Bunch's office is open Monday to Thursday, from 8:30am to 4:30pm. Face-to-face appointments are 9:00, 10:00 or 11:00am.
  • If this is an emergency, please dial 9-1-1.
  • Please type on the box the characters shown in green below:
  • This field is for validation purposes and should be left unchanged.