Appointment Request

Practice Update: LaKettra will be unavailable for sessions June 21 through June 30 during the office transition. Starting July 1, 2026, consultations and sessions will be virtual-only. Read the full update.

First Name

Last Name

Phone Number

Date of Birth

Insurance Provider

Insurance Group Number

Insurance Policy Number

Desired Date

Desired Time

Appointments Scheduled Mon-Fri, 9am-5pm CST

Additional Information

This is a Request

Please note that submitting this form is a request only. Appointment time is not guaranteed until you receive confirmation form us by email or phone call.