Executive Health Program — Request an Appointment

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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Returning patients should call 949-386-5720 or email your existing Executive Health Program contact.

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.

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