APPOINTMENT REQUEST
 

Thank you for choosing the following Maury Regional Medical Group (MRMG) practice. Patients may request an appointment using the form below. Once your contact information is received, a member of our team will contact you within one business day to schedule your appointment.

MRMG Primary Care & Rheumatology
1114 W. 7th Street
Columbia, TN 38401
931.388.9706

Monday - Friday
7:30 AM - 4:30 PM

Walk-in services are also avaiable at this location:
Monday - Friday  l  7 AM - 3 PM
Appointment NOT required for walk-in services.

 
I would like to schedule an appointment with:  *
First Name:  *
Middle Name:  *
Last Name:  *
Street Address:  *
City:  *
State:  *
Zip Code:  *
Email:  *
Phone:  *
Is this a cell or home phone?  *
Preferred Method of Communication:
(Initial contact will be a phone call to the number provided above. Your appointment confirmation may be sent to the preferred method you select below.) 
 *
First visit to this practice?  *
Preferred Day(s): 


Preferred Time(s): 
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