To request an appointment online, please complete the form below. Appointments by phone may be made by calling (415) 353-4201. If you are a physician or health professional, please use our Refer a Patient 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.
Please note this is a request only and is subject to program restrictions and availability.