Epilepsy Care Services — Request an Appointment

Already a patient?

If you are an existing patient, please log into the patient portal to submit an appointment request.

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.

An asterisk (*) indicates a required field.

After you submit your request, a UCI Health representative will contact you by phone within one business day to assist in making an appointment.