New Patient Contact Form
Share basic contact information so the clinic can follow up about becoming a patient or requesting a visit.
Privacy reminder: Do not include diagnoses, symptoms, medications, Social Security numbers, insurance IDs, or other private medical information in this form. This form is not for emergencies.
Clinic information
Location:
2387 Main Street
Willisburg, KY 40078
Email:
thegoodclinic.ky@gmail.com
Monday–Thursday
9 AM–5 PM
Closed daily
12–1 PM
Friday
9 AM–3:30 PM