Horizon Headache
Make a Physician ReferralMake a New Patient AppointmentPatient ToolsPhysician Resources

New Patient Appointments

 

Two ways to make a patient appointment

 

1). Call 859-263-2222 for a new patient appointment,

OR

2). Fill out the form below and we will contact you within one business day to schedule a new patient appointment.

Please click here to see INSURANCE INFORMATION

Name:

Primary Care/Referring Physician:

Insurance Provider

 

Preferred appointment time (check all times you may be available):

 

Preferred appointment days (check all times you may be available):







Reason for Appointment:

Best way to contact you to schedule an appointment :


Phone:


Email:

Additional Questions or Comments:

 

 

Horizon Headache Center