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Cancer Care — 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 ›

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.

Thank you

Thank you for your appointment request.

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

If you have any questions about your appointment request, please call us at 714-456-8000.