Contact & Appointments | Cura Wound Care

Prefer to call or email? We're here for you Monday through Friday.

Phone (555) 000-0000 For urgent wound concerns, call directly.

Email info@curawoundcare.net General inquiries and non-urgent questions.

Office Address [Street Address] [City], CA [ZIP]

Office Hours Monday – Friday 8:00 AM – 5:00 PM PT

Medical Emergency?

If you are experiencing a life-threatening emergency, severe infection, or signs of sepsis, please call 911 or go to your nearest emergency room immediately. Do not use this form for emergencies.

Before you submit

Having this info ready helps us respond faster:

Your insurance plan name and member ID
A brief description of your wound and how long you've had it
Your preferred appointment type (clinic, home, or telehealth)
Any referring provider's name, if applicable

Appointment Request Form

All fields marked * are required. We'll contact you within one business day.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth

Appointment Type *

Reason for Visit *

Insurance Plan

Preferred Days / Times

Referring Provider (if any)

Additional Information

Request received!

Thank you for reaching out to Cura Wound Care. A member of our team will contact you within one business day to confirm your appointment.

If you have an urgent wound concern, please call us directly at (555) 000-0000.

Request an Appointment

Appointment Request Form

Request received!

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