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Digestive Health Institute Appointment Request
Please do not use this form to schedule a COVID-19 vaccine appointment. For COVID-19 vaccine availability and scheduling, visit vaccine.ucihealth.org ›
Please use this form only if you are a new patient or making an appointment for a patient. If this is a medical emergency, please dial 911.
What to expect: One of our UCI Health Digestive Health Institute (DHI) referral specialists will call you back at a convenient time. We will respond by the next business day. We also recommend having your insurance information and any other pertinent information available.
An asterisk (*) indicates a required field.