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Request a doctor appointment

Home > Patients & visitors > Registration & appointments > Request a doctor appointment
Registration & appointments
 

Our online request an appointment feature is for patients who would like to schedule a future appointment and is not intended for same day appointments. If you need an appointment today, please contact your physician practice directly.

Your request will be sent to a Novant Health UVA Health System representative who will contact you to assist in scheduling an appointment.

If you are having a medical emergency and are in need of immediate assistance, please call 911.

If you already have an appointment scheduled with a Novant Health UVA Health System doctor's office you can pre-register online securely before your visit..


Steps:

* denotes required fields

Appointment Information

Specialty
Physician Requested (optional)
or
Location-First Choice (optional)
Location-Second Choice (optional)
(Use the fields below to indicate your preferred day and time for an appointment.
We will do our best to accommodate your preferences. You will be contacted to confirm your appointment day and time.)
Preferred Day *
Preferred Time *
Reason for doctor visit
* denotes required fields

Patient Information

First Name *
Last Name *
Address *
City *
State * Zip *
Daytime Phone
Evening Phone
  Best time to be reached
Email Address *
Preferred method of contact *
Gender
Date of Birth
Health Insurance
If Yes:

Requestor's Information

Same as patient's information
First Name *
Last Name *
Daytime Phone
Evening Phone
  Best time to be reached
Email Address *
Preferred method of contact *