Patient scheduling

Please fill out the following form for existing AND new patients of Dr's Kappius, Kirkegaard and Laggis.

Name

First nameLast name

Phone number

Please enter a valid phone number. Cell phone preferred.Format: 000-000-0000.

Email

Preferred or current physician

When would you like to be seen?

Please note that our current patients transitioning care to Grand Junction Dermatology do NOT need to request a transfer of their records. Our physicians will have access to your records and can discuss this further at your first appointment.