Appointment Request Intro

Schedule an Appointment
This form is for requesting appointments only. A staff member will call within 24 hours (regular business hours) to coordinate your appointment. 

This form will not reviewed by clinical staff. Please do not include or request any medical information or advice. 

It is possible that unsecure (unencrypted) email could be intercepted and read by third parties. For this reason, PeaceHealth Medical Group asks that you do not send any personal and/or confidential information, such as, without limitation, social security numbers, through links on this website. We assume no responsibility or liability for interception of personal and/or confidential information that you send in an unsecure (unencrypted) email message.