Schedule An Appointment

SOGA now offers our patients the option to request an appointment through our online appointment form. Once your appointment request is submitted, the SOGA staff will confirm whether or not your requested date and time are available via email.

If you prefer to schedule your appointment by phone, please call our main office at 618-526-2209. For all other communication matters, you can visit our Contact page.

Name

First Name

Last Name

Date of Birth

YYYY

Phone Number

(###)

###

####

Email Address

Insurance Provider

Reason for your visit

Preferred Provider

Office Location

Preferred Day of the Week

Preferred Time of Day

Non-Emergency Confirmation

By checking the box below, I understand the message I am sending with this form is not medically urgent and will only reach SOGA during regular business hours.

This inquiry is NOT an emergency