Appointment Request

Please enter your first and last name and telephone number. We will respond to your request by text message unless you tell us otherwise in the note section. Visit our website at www.breatheclearinstitute.com and click on patient resources to see a list of insurances that we accept. We also recommend that you contact or visit your insurance companies website to confirm if we are a participating provider. Thank you

Please enter your name and phone number to continue.

Select a Group

Please select the correct group and we'll put you in touch!

Are you a New Patient or Existing Patient?

New Patient
Existing Patient

Please select which days are most convenient for you

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Please select the time(s) that are most convenient for you

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Please provide any additional notes regarding your request

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Our team will be texting you back from the number +14242642508.