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Request an Appointment

Welcome to Geneva General Cardiology Associates, with Dr. Joe Gomez, Dr. Dmitry Chuprun, and Christina McDonald, FNP.

Please fill out the form below to request an appointment with one of our providers. We are scheduling from this form at least 2 weeks or more in advance. Please call your doctor's office if you need a more timely appointment.

Do not use this form if you need an urgent appointment or one within the next 2 weeks.

In case of emergency, call 911.


* Indicates required information
Patient's First Name * 
Patient's Last Name * 
Date of Birth (MM/DD/YYYY) * 
Contact Person (if other than Patient) 
Daytime Phone * 
Evening Phone 
Email Address * 
Appointment Day/Time Preferences * 
I would prefer to see my doctor in the: 


Reason for Visit * 
Are you a new patient with this office? * 

Authentication * 

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Finger Lakes Health 196 North Street, Geneva, NY 14456 315-787-4000  
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