New Patients | Backed by Blackmon

Request a New Patient Appointment Below

We will contact you as soon as possible, or you can call the office directly to schedule an appointment!

First Name

Last Name

Phone Number (xxx) xxx-xxxx

Can you tell us a little bit about what you are experiencing and how we can help?

Which doctor would you like to schedule with? Required

Dr. Randi B. Likely, DC, ACSM-EP

Dr. Xavier Ferrell, DC

Does not matter

Will you be utilizing insurance or self-pay? Required

BlueCross BlueShield

United Healthcare

Medicare

Self Pay

Thanks for submitting!

*New Patient Cancellation Policy: Here at Backed by Blackmon, Dr. B. Likely sets aside an hour for each new patient. Due to an influx of no-shows to new patient appointments, we are now requiring a $25.00 deposit to be applied to your initial appointment. If you need to cancel your appointment, then the $25.00 deposit will be refunded as long as the appointment is canceled 24 hours or more before your scheduled appointment. If you provide less than a 24-hour notice or no-show, then you will not be refunded your deposit. A visit will be considered is considered a no-show 15 minutes after the scheduled appointment. Three no-shows will result in a requirement of any future appointments to be pre-payed.