Request Appointment Request an appointment by calling (310) 855 – 9920 or using this form. Our technicians will contact you to confirm the appointment. Your Name (required) Contact Phone Number (required) What month would you like to come in? JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember What day would you like to come in? MondayTuesdayWednesdayThursdayFridaySaturdaySunday What time is most convenient for you?010203040506070809101112AMPM Please describe the nature of your symptoms.