Connect2MyDr.com Patient Appointment

Westside Institute for Women's Health (Leticia S. Hernandez, M.D.)
Patient Appointment Hours Are:
Monday: 8:00 am. - 4:15 pm.
Tuesday: 8:00 am - 4:15 pm.
Wednesday: 8:00 am - 4:15 pm.
Thursday: 8:00 am - 4:15 pm.
Friday: 8:00 am - 11:00 am.

Enter Patient Appointment Request below and Submit:

Patient First Name..: Last Name:

Patient Date of Birth: Phone.......:

Email......................:

Appointment Reason:

Are you a New Patient?(Y/N):

If New Patient, please provide patients Insurance Name..:

Please enter your 3 preferred appointment dates and times below.
If available, your appointment will be made at one of these times in your order of preference by the office.
You will be notified, by email of your confirmed appointment.

Preferred Appointment Date...: Time: AMPM

2nd Option Appointment Date.: Time: AMPM

3rd Option Appointment Date.: Time: AMPM
Enter this Verification Code 9@34a2 :