Request an Appointment with Dr. Cruz

Fill out the form below to schedule an appointment with Dr. Cruz.

There may be a waitlist for his services should his schedule be completely booked. Dr. Cruz will reach out to you and let you know if you are placed on the waitlist.

Request An Appointment - Dr Cruz

First Name *

Last Name *

Phone Number

Providing a phone number helps facilitate our response. We look forward to speaking to you!

Email Address *

Subject *

Comments

Would you be interested in joining our waitlist?

Yes

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Opt-in to electronic communication

By submitting this form, you agree to receive email, text, and phone communications from our office. SMS Messages from the office will include: appointment reminders and follow-ups regarding due dates and scheduled appointments. Our Privacy Policy and Terms & Conditions can be viewed by clicking here. Users will have the option to opt out of receiving texts by replying STOP. Standard data rates may apply.

Please note that e-mail is not a secure form of communication. Medical information placed here may not be confidential. This form should not be used by children under the age of 18. If you prefer to speak to us directly, you are also welcome to call us so that we may assist you.

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