To request an appointment online, please complete the form below. Appointments by phone may be made by calling (415) 353-2804. If you are a physician or health professional, please use our Physician Referral Form. This service is for non-urgent appointments only. If you have a medical emergency, please call 911. This is a secure form and any information you provide will be handled in strict compliance with applicable privacy laws.
We currently do not accept Medicare coverage or Medi-Cal coverage for patients who reside outside of San Francisco for this service.
NOTE: All appointment requests are subject to program restrictions, guidelines, and availability.