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Request An Appointment

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Name
Phone*
Email*
Preferred Date*
Date Format: MM slash DD slash YYYY
Preferred Time
Nature of Visit
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Email
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DeArk Medical Center PLLC

Phone: (980) 888-8011 Address: 3719 Latrobe Dr Ste 840
Charlotte, NC 28211

Monday – Friday: 8:30 am – 5:30 pm
Saturday: 9:00 am – 2:00 pm
Sunday: Closed

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

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