Appointment Request Form

This form allows you to request an appointment with Dr. Frederick Haynes.
    ​Please note that appointments with Dr. Haynes are conducted on Tuesdays & Wednesdays. 
    Meetings are scheduled for 30 minutes unless a request for an extended time is made. 
    Tuesday Meeting Times: 2 to 4:30 PM
    Wednesday Meeting Times: 10 AM to 12 Noon | 2 to 4:30 PM