Contact Form We’d love to hear from you. Use this email form to get in touch. We'd like to hear from you! If this is an emergency, do not contact us via email, please use our emergency contact information. Your two cents is worth a bundle to us... Help us help you better by letting us have your comments on our services.Send To:Select>>Dr. ShariDr. TishDr. KevinDr. Jurgensen & AssociatesYour Name First Last Subject* MessageShould we reply?* Yes, Email Me Yes, Call Me No Email Please provide an email address so we can contact you.PhonePlease provide a telephone number, with area code, so we can contact you.EmailThis field is for validation purposes and should be left unchanged.