Logo EMPOWERED COVERAGE

Please fill in your information in order to schedule your Appointment.

Choose the type of appointment then the date on the calendar and the time of your appointment on the side panel.

Select a date on the calendar and then an available time to finish filling out the form. If there are no spaces available use the button to go to the waiting list form.
Waiting list


05 p.m.
06 p.m.
07 p.m.
08 p.m.
09 p.m.