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EHAC is the sole owner of the information collected on this site. We will not sell, share, or rent this information to others.

We thank you for the request for a new appointment, confirming your existing appointment, rescheduling an appointment, cancelling an appointment or ordering extracts/supplements.  Alternatively you can call us at 314-921-5600.  If it is after office hours you can leave a voice mail message with the same information requested here.

Here are our office hours.

Patient's First Name*  
Patient's Last Name*  
EMail Address*  
Patient's Date of Birth
Appointment Make a new appointment
Confirm my appoint on
The purpose of the appointment is:

Office visit to see Dr. Sultan.  It would be helpful for us to have the completed progress report form.  Please fax/email us the completed form or you may bring it back at the next appointment.  To Download documents click view PDF  or view WORD

Allergy Testing for:

Candida Dust & Molds
Pollens Foods
IV (Intravenous treatment) Other

Change an existing appointment

from Date:   Time:
to Date: Time:
If you do not remember the date or time, it is ok, we can look it up for you.  We will call you to setup a mutually agreeable time.
I want to cancel my appointment.  Please call me to setup an appointment for a later date
I want to cancel my appointment.  I will call at a later date to setup an appointment.
I want to order extracts and or supplements.
Other
If you would like us to call you, please provide us with the following information:
Your Name if other than patient's name listed above.
Cell Phone Number
Home Phone Number
Work Phone Number
The Best day to Contact Mon Tues Wed Thurs Sat
Any Day
The Best time to Contact 9AM - 1PM 2PM - 5PM Any Time
Other