1Select Procedure and Date
2Select Duration
3Payment
4Patient Info
5Medical History
6Confirmation
Thank you for choosing PDAA! Please do not exit the webpage until you’ve reached "Online scheduling complete!" screen. We will collect your preferred payment method, child's procedure information, and child’s medical history on the following screens. Please enter in the information accurately.
Procedure Date*
Your Name*
Your Email*
Patient Name*
Δ