Request an Appointment Online

This online form is to request non-urgent appointments. Requests received before 2 p.m., Monday through Friday, will be responded to the same day. Requests received after 2 p.m., on weekends, or on holidays will be responded to the next business day.

Note: All new patients are required to have their insurance information available at the time of scheduling their appointment.

Patient Contact Information

Patient name
Contact name if not patient
What is the best time to call you between 8 a.m. and 5 p.m.?

Appointment Request

Please check the box if you have seen by a Baylor physician.
Examples of specialties: family medicine, dermatology, etc.
Preferred times