Comprehensive Stroke & Cerebrovascular Center 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 ›
Already a patient?
If you are an existing patient, please log into the patient portal to submit an appointment request ›
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: After you submit this form, one of our referral specialists will call you back by the next business day. We also recommend having your insurance details and any other pertinent information available.
An asterisk (*) indicates a required field.
To request an appointment, please fill out the fields below.
If you are an existing patient, please log in to our patient portal to submit your appointment request ›
After you submit your request below, a UCI Health representative will contact you by phone within two business days to help you make an appointment.
Call 911 if you are experiencing an emergency. Do not use this form.