Request an Appointment

Ferguson Family Chiropractic
54 Crossing Blvd. Ste. H
Box 30
Clifton Park, NY 12065
518-383-5595
info@forlifetimewellness.com
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone

Format XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message



NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

Monday
7:45 - 12:00pm, 3:00 - 6:00pm
Tuesday
 8:00 - 9:00am, 1:00 - 5:00pm
Wednesday
7:45 - 12:00pm, 3:00 - 6:00pm
Thursday
7:45 - 12:00pm, 3:00 - 6:00pm
Friday
 8:30 - 11am by Appointment
Saturday
Closed
Sunday
 Closed