Adolescent Psychiatry 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.

Medical emergencies

Call 911 if you are experiencing an emergency. Do not use this form.