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Request an Appointment

Request a preferred date and time for family practice or urgent care. Your request is not confirmed until The Good Clinic contacts you.

Important: This form is for scheduling requests only. Do not include symptoms, diagnoses, medications, Social Security numbers, insurance IDs, or other private medical information. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

Clinic information

The Good Clinic, PLLC
2387 Main Street
Willisburg, KY 40078

Email:
thegoodclinic.ky@gmail.com

Monday–Thursday

By Appointment

Friday

By Appointment

Urgent care: Walk-ins are welcome, subject to provider availability.

Full name

Phone number

Email address

Patient status

Visit type

Preferred contact method

Preferred date

Preferred time

Alternate date (optional)

Alternate time (optional)

Brief scheduling note (optional) Maximum 300 characters. Do not enter medical or insurance information.

I understand this is only an appointment request and is not confirmed until The Good Clinic contacts me. I also agree to be contacted using the phone number or email address I provided.