Make an Appointment

877-824-3627

Request an Appointment

Cancer Appointment Request Form

Please use this form only if you are a new patient or making an appointment for a patient.

If you are an existing patient, please log into the patient portal to submit an appointment request ›

After you submit your request, a UC Irvine Health representative will contact you by phone within one business day to assist in making an appointment.

Medical emergencies

Call 911 if you are experiencing an emergency. Do not use this form.

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Make an Appointment

877-824-3627

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