Complete the form below to request an appointment at Mayo Clinic. An appointment representative will contact you within two business days to review your medical and financial information, including insurance coverage, before an appointment may be offered.
If you are having a medical emergency, call 911 or emergency medical help.
All fields are required unless marked optional.
Please provide patient information as it appears on legal documents.
Important: After submission, please do not leave this form until you see the confirmation message.
Your Mayo Clinic number is a 7, 8 or 9-digit number we assign to you as a new patient prior to your first visit. You can find it near the top of a range of documents, including pre-visit questionnaires, clinical notes, care summaries, and correspondence.
If you do have Mayo paperwork handy, it's often quickest simply to look for it there. Scroll down to see some examples of how the number shows up:
Calls may be monitored or recorded for quality purposes.
International patients: Please use the international appointment request form.
Referring physicians: Please use Mayo Clinic's referring physician services.