Request Appointment

Welcome. Patients and new patients can conveniently request an appointment at any of our Health Centers by calling us:

Amite County Medical Services, Inc. – Liberty, MS (601) 657-8091

Pike County Medical Services – McComb, MS (601) 249-3541

Liberty Dental Services – Liberty, MS (601) 657-1236

Or online by using the interactive and secure appointment request form below. Our friendly appointment schedulers will respond to your request within 48 hours. Please allow extra time for requests submitted on the weekend.

Please do not use this form if you have an urgent medical problem. Instead, please contact the office you normally visit.

Whenever possible, we will make every effort to make an appointment with your primary provider. However, there may be times when he or she is not available at the time you would like your appointment. In that case, you will be scheduled with a member of your provider’s team.

Please arrive 15 minutes before your scheduled appointment to allow time for check-in, where we will make sure our information about you is correct. If you are a new patient, please arrive 30 minutes prior to your scheduled appointment. We will do our best to be on time and appreciate your understanding when emergencies happen that put us behind schedule. If you arrive late, you may need to reschedule your appointment.

Cancel or Reschedule an Appointment

We understand there may be times when you miss an appointment due to emergencies or obligations to work or family. If you cannot keep your appointment, please call Amite County Medical Services, Inc. (601) 657-8091, Liberty Dental Services (601) 657-1236, or Pike County Medical Services (601) 249-3541 so we can reschedule at a time that is convenient for you. We ask that you cancel at least 24-hours before your appointment, if possible, so we can give another patient that time.

To save you time at the office, please visit our Becoming a Patient and Patient Assistance Program pages to find out what you need to bring if this is your first visit with us. Please note: payment is due at the time services are rendered.

"*" indicates required fields

Person Requestiong Appointment*
Type of Patient*
Type of Appointment
MM slash DD slash YYYY

Please Note: Any information submitted using this form is transmitted securely and held in the strictest of confidence, protecting your privacy.

*=Input is required

This field is for validation purposes and should be left unchanged.