Appointment Request
Main Line: 216-535-9100 | Appointments: 216-535-9100 | Fax: 216-535-2626
Fill out the form to request an appointment
Important Note About This Form: Submitting this form does not schedule an appointment. It simply begins the process. Once we receive your request, a member of our Patient Support team will contact you to confirm details and guide you through next steps.
This may include:
- Verifying your preferred location and provider
- Sharing available appointment dates and times
- Reviewing insurance or sliding-fee eligibility
- Providing any forms or documents you’ll need before your visit
- Answering questions about transportation, translation services, or telehealth options
For urgent medical concerns, please call 216-535-9100 during business hours or if it’s an emergency dial 911.