Request an Appointment To request an appointment online, simply fill in the form below. One of our staff will contact you as soon as possible to confirm your appointment. Thank you! Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Most Convenient Day of the Week*MondayTuesdayWednesdayThursdayFridayAnyMost Convenient Time of Day*Mornings 8:00 - 11:00Lunch 11:00 - 1:00Afternoon 1:00 - 4:00AnyPreferred DoctorDr. Joseph ThomasDr. Jung-Woo MaDr. Paul DiefenbachDr. Timothy KoAaron Kleps, PABrian Horgan, PAHeather Adams Szymczak, PAAny doctorPreferred Location*Erie, PAReason for Appointment/Visit*Please write a short note describing the reason for your appointment/visit. Erie, PA 2374 Village Common Dr. Suite 100 Erie, PA 16506 Phone: 814-833-7246 Fax: 814-833-1147 Click here of directions