Request for an appointment

Please do not use this form to request a COVID test. If you need a COVID test, no appointment is necessary. Please visit our COVID-19 testing page for more information.

Complete the form to request a non-urgent appointment with a ProHEALTH Care provider or specialty. We will contact you within 1-2 business days of submitting the request.

We accept most major health insurance plans.

Patient Information:
Provider Information
Appointment Information: