Flight Physical Appointment Request

 

Appointment Setup for Aviation Medical

Name:

Best Telephone to reach you:

Email to reach you:

Best time to reach you

My medical is due:

I need a Class

I would prefer to have my medical done in  

   If Burlington selected, you could select one of the following days

   If Willsboro selected, we book on Mondays and Fridays

   If Lake Placid, we book on Tuesdays and Thursdays (no EKGs available here)

    If this form doesn't want to work, just forward an email to iwantaflightphysical@docjosh.com with your requests and we will respond to you.

 

 

You can expect to hear from someone within 24 hours.  We look forward to meeting you.

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