University of Pennsylvania Health System

Request an Appointment at Penn Medicine

If you have symptoms of an urgent nature, please call your doctor or go to the nearest emergency room immediately.

This is a secure form, and the information you provide will enable us to assist you as efficiently as possible. Requests are received by the Penn Medicine Contact Center. A representative from the contact center will contact you within 1 business day to help you schedule an appointment.

For faster assistance, please call 800-789-PENN (7366).

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  • ( mm/dd/yyyy )

  • A Penn Medicine Contact Center Representative will call the patient/contact person between 8:30am–5:00pm EST, Monday–Friday

  • OPTIONAL: Enter the name of the provider or practice for which you would like to make your appointment

  • You’re message is limited to 500 characters

NOTE: With this form, you are submitting a request for an appointment. You are not scheduling an appointment. A representative from the Penn Medicine Contact Center will contact you to help you schedule an appointment.

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