Please note: We cannot process emergency requests through this form. If you are experiencing a medical emergency, please call 9-1-1.

This form cannot be used to schedule same-day appointments. For same-day appointments in Cleveland, please call 216.444.CARE.

To schedule an appointment by phone, please call the appropriate Toll-free number:

  • Cleveland: 866.320.4573 (7 a.m. - 11 p.m. ET, daily)
  • Florida: 877.463.2010 (8 a.m. - 5 p.m. ET, weekdays)
  • Canada: 888.507.6885 (8 a.m. - 5 p.m. ET, weekdays)
  • Nevada/Neurology: 702.483.6000 (8 a.m. - 5 p.m. PT, weekdays)
  • Nevada/Urology: 702.796.8669 (8 a.m. - 5 p.m. PT, weekdays)

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Patient Information:

The person who will be seeing the physician.

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Appointment Details:
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  2. Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.) 500 characters maximum.

  3. Preferred day of the week / date / time of day or first available.

    Preferred physician or provider name.

    We cannot guarantee exact scheduling, but we will do our best to accommodate the patient's wishes.

Requestor Information:

The person completing this form.

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