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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*
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Preferred Time
Nature of Visit
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Phone
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Premiere Healthcare Services

Phone: (301) 444-4402 Mail:Phcsllc2@outlook.com Address: 10110 Molecular Dr. Ste 101
Rockville, MD 20850

Mon: 9:00 AM – 5:00 PM
Tue: 9:00 AM – 5:00 PM
Wed: 9:00 AM – 5:00 PM
Thu: 9:00 AM – 5:00 PM
Fri: 9:00 AM – 5:00 PM

New Year's Day: January 1
Memorial Day: Last Monday of May
Independence Day: July 4
Labor Day: First Monday of September
Thanksgiving Day: Fourth Thursday of November
Christmas Day: December 25

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

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