• 12 DEC 18

    Online Appointment Request – Botox and Dermal Fillers

    Thank you for requesting an appointment for Botox® or dermal fillers at the practice of Joe P. Salgado, MD and Bianca Ortega, PA-C.

    Please complete the fields below and submit. Your request will go to a scheduler who will contact you by email or phone within one business day during regular business hours, Monday to Friday.

    Please note: this appointment request is not for emergencies, same day or next day appointments. If you need an appointment within the next 48 hours, please contact us directly at 575.746.3119.

    This appointment request form requires you to answer confidential health information that is needed to complete your request and shall be used only for the purpose of helping you secure an office visit. Your personal information will not be shared with any party outside of Artesia General Hospital.

    OAR - Botox/Fillers

    YOUR INFORMATION

    MM/DD/YYYY

    YOUR APPOINTMENT PREFERENCES

    Physicians & Providers

    Location

    Memorial Family Practice
    702 N. 13th St.
    Artesia, NM 88210
    575.746.3119