Request An Appointment
Please use this form to request an appointment for the Partial Hospitalization Program (PHP) or Intensive Outpatient Program (IOP). Only submit this form if you are a new patient or are making an appointment for a patient.
After you submit your request, a UCI Health representative will contact you by phone within one business day to assist in making an appointment.
Call 911 if you are experiencing an emergency. Do not use this form.