Office hours:

Monday–Tuesday-Wednesday: 9:00 am–6:00 pm

Scheduling and questions:

Tel. 415.453.6409
Fax 415.453.1598
To email, please use our Contact Form.

Emergencies (nights/weekends/holidays)

415.453.6409—listen for instructions

1526 5th Avenue
San Rafael, CA  94901-1852

Appointment Request

If you would like to make an appointment with Dr. Miller, please fill in the form and the office will contact you to confirm your choice of time.

Salutation:
First Name:
Last Name:
Address:
City:
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Zip code:
Phone:
Email (required):
Select One:
New Patient Current Patient
You will be called during business hours on the date and at the time requested.
Best day to call:
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Reason for Appointment:
Please indicate your choice of day and time for an appointment. Dr. Miller's office will call to confirm the date and time and your choice of offices.
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Please select an alternative time: