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Request Appointment

Request Appointment

Schedule Your Care Right When You Need It

To request an appointment with a UWH of Michigan provider, complete this form. We will be in touch soon to schedule an appointment at a time and location most convenient for you.

"*" indicates required fields

Full Name*
MM slash DD slash YYYY
Are you a new patient or existing patient?*
This field is for validation purposes and should be left unchanged.

This general appointment request process is not intended for emergencies. If this is a true medical emergency, please call 911 or call your provider’s office directly.