Appointment Request

When requesting an appointment with Dr. Rynkiewicz, please allow the staff at Rappahannock Foot & Ankle Specialists to contact you regarding an appointment within 24 hours of your appointment request. This appointment request form does not secure an appointment with Dr. Rynkiewicz, but allows the staff to get an idea of a time that is convenient for you. Please do not provide any Protected Health Information (PHI) or confidential information on this form.