Request an Appointment

To Schedule an Appointment by Phone Please Call:

801-581-2352 or 1-877-248-6374

To Request an Appointment Electronically

To request an appointment, please fill out your personal information and click on the button labeled "Submit". You will receive a call within one business day.


 This secure form is submitted using SSL technology to ensure the privacy of the personal information you are providing.

All clinical services and programs are part of University of Utah Hospitals & Clinics