Set an Appointment

For your convenience, you can use the provided form to request an appointment with us. A member of our team will contact you shortly for confirmation.

Name*
Address*
City*
State*
Zip*
How do you preferred to be contacted?*
- Phone
- Email
- Fax
Email*
Fax
Phone*
Best time to call*
Preferred Date*
Date Format: MM slash DD slash YYYY
Preferred Time*

: HH

MM
Message*

Set an Appointment

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Contact Us

Telephone:	(972) 594-0646
Fax:	(972) 261-0166
Email:	info@goodsamaritanh.com
Address:	2510 Texas Drive, Suite 100, Irving, Texas 75062. We are open on Monday through Friday, 9:00 AM - 5:00 PM.