Request an Appointment with Dr. Salinas
Complete This Short Form
What type of appointment do you want?
Height & Weight
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Insurance Information
Insurance Card Photo (Front)
Insurance Card Photo (Back)
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Contact Information
Last Step: Click "Submit" Below
You will receive a text and email in the next few minutes to confirm we received your submission.
By providing your contact information you agree to receive calls, texts, and emails from Capital Surgeons Group.