Cancer Care — 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.
After you submit your request, a UCI Health representative will contact you by phone within one business day to assist in making an appointment.
An asterisk (*) indicates a required field.