Make an Appointment

We know how busy life can be. Using this convenient on-line form, you can schedule elective, non-urgent appointments, such as a physical exam, routine office visit or blood pressure check. If you are a new patient, you may also schedule an initial physical examination. After submitting this form, you will be contacted by our staff within 48 hours to arrange a specific time and day for your visit. We will work with your schedule to find a convenient time for you to visit our office. If you are in need of an emergency appointment with Dr. Fars, please call our office at (307) 673-5501.

If you are a new patient, if you have moved since your last visit, or if you have changed insurance carriers recently, Download our Registration Form.

Do you need your old medical records transferred to our office? Download Records Release Form.

Please provide the following information

Name:

Date of Birth:

mm/dd/yyyy

Day Telephone:

999-999-9999

Night Telephone:

999-999-9999

I am a:

I wish to schedule:

I wish to see doctor:

I would like to be seen within:

The purpose of my visit is:
Please include any additional
information you wish to tell us.