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Home Medical Services Stroke And Cerebrovascular Services Appointment Request

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 ›

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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.

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If you are not the patient, enter your contact information below.

Any questions? Call us at 866-STROKE3 (866-787-6533).

Thank you

Thank you for your appointment request.

A UCI Health representative will contact you by phone within one business day to assist you in making an appointment.

If you have any questions about your appointment request, please call us at 866-STROKE3 (866-787-6533).