Schedule An Appointment

For New Patients of Dr. Tanase,

Complete the following form and we will promptly contact you to schedule a convenient day and time for your appointment.

Please provide the following contact information:



Name:

Phone:

Email:

Preferred Day/Time:

Comments:

Click here to save 15-minutes by downloading our New Patient forms


We respect your privacy. We promise not to sell, barter or rent your contact information to any unauthorized third party.