Scheduling an Appointment

Get Your Life Back.

Use the form below to request an appointment at any of 11 BRG locations -- including telehealth.

You can also speak to a team member directly by calling (716) 458-1990

Appointment Details

What type of appointment do you prefer?

Telehealth Appointment In-Clinic Appointment

Your Name *

First Name Last Name

Date of Birth

Month Day Year

E-mail Address *

Phone Number *

Area Code Phone Number

Which office do you prefer?

What is your insurance?

What time and days work best for you?

Days of the Week

Time of Day

Additional Information

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