You can email Dr. Kate, Kathleen Coulombe, or Meg Preissler (Dr. Baecher's Scribe)
as well as the Front Office for scheduling and appointment issues

Notes:
   This is not an encrypted form.
   Confidentiality of information sent electronically cannot be assured.
   Email should not be relied on for urgent, critical reasons.
   Do not use email for canceling an appointment less than 48 hours in advance.
   Please allow 24-48 hours for a response.

Your Name (required):
Patient Name (required):
Patient Birth Date (mm/dd/yyyy):
Phone:
E-mail (required):
Whom should your email go to?	Please Select One ----> Dr. Kate Kathleen Coulombe, Nurse Practitioner Meg Preissler, Dr. Baecher's Scribe Front Office for scheduling & appointment issues
Concerns: