How This Form Works...

If you would like us to call you to schedule an appointment, please complete the information requested below. This is a secure form, and the information you provide will enable us to assist you as efficiently as possible. Our Physician Referral Staff will contact you within two business days.  If you require more immediate assistance, or if you are uncomfortable transmitting this information electronically, please call the Physician Referral Service at (800) 926-8273 (Monday - Friday, 8 a.m. - 5 p.m.)

Current & Existing Patients: If you are an established or current patient at UCSD Medical Center, please call your physician's office directly to schedule your appointment. View a list of phone numbers and locations.

To request an appointment with the following specialties, please click on the corresponding links:

Cancer Specialties Psychiatry

Physician Offices: Use our referral form to refer a patient

Please read the Confidentiality Notice below before completing the on-line appointment request form.

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