Appointment Request Form

Please complete the form to request your appointment. After you submit your form, one of our team members will contact you to confirm your appointment day and time.

Insurance and payment information
Selkirk Diagnostics is a self-pay practice and does not currently accept insurace.  If you would like to submit a claim to your insurance provider, please let us know in the comments section when scheduling your exam and we will provide you with a superbill.  Please note that reimbursement is not guaranteed, as coverage varies by plan. 
We are happy to accept HSA and FSA cards for payment.
Payment is due in full at the time of the exam.