Dr. Ben Go, M.D.

TO SCHEDULE AN APPOINTMENT ONLINE

Did you know that you can now request an appointment with Dr. Go online? Only for a NON-EMERGENCY, NON-URGENT appointment, such as a followup or complete physical. You will get a call back on the next clinic day. Please note that the clinic is closed on Sundays and on most holidays.

Patient Name Your Contact Number New Patient? YesNo 18 years of age or Older? YesNo Date Requested (we will try our best to accommodate) Morning or Afternoon Requested? Is this a (choose one) Sick, Follow-up, Refill, or Annual physical visit? What is your current insurance for this visit?