Request Appointment

This form is intended for non-emergency appointment scheduling. If you have a medical emergency, please call 911.

Patients requiring immediate appointments are advised to contact the office by phone at 517.448.8918 to schedule their appointments.

In order schedule an appointment you must be a current existing patient of Dr. Schmidt prior to the date of the requested appointment. You can request your next appointment online, by completing the form below.

We cannot guarantee availability of the exact time you have requested, however we will do our best to work within the time slot selected. The hours that Dr. Schmidt is available for appointments are as follows: Monday through Thursday from 9:00 am to 12:30 pm and from 2:00 pm to 4:30 pm and on Friday from 9:00 am to 11:45 am.

Please notify the office at least 24 hour in advance. We reserve the right to charge for failed appointments.

Patient's Full Name

Patient's Date of Birth

Insurance Type

Contact Person

Phone Number

Email Address

Requested Date

Time of Day (Morning or Afternoon)

Reason for Appointment

Upon completing this form, click the send button above to dispatch your request. We will contact you by telephone within one business day to confirm your appointment. In the event that your requested time is no longer available, we will contact you with alternative options. If at any time you require assistance, please call us at 517.448.8918.