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Request an appointment (U.S. residents)

Complete the form below to request an appointment at Mayo Clinic.

If you are having a medical emergency, call 911 or emergency medical help. The team members who will care for you or your family have the expertise and skills to provide the best care possible.

All fields are required unless marked optional.

Requester Information

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Primary phone type:


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Patient Information

Please provide patient information as it appears on legal documents.



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Preferred phone type:


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Secondary phone type:



Note: You must select a location before you can choose a specific date and time.
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All Times are Pacific Standard Time

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Gender:

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The name of a parent is required if the patient is under the age of 16.

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Patient Insurance Information


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Medical Concern
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Important: After submission, please do not leave this form until you see the confirmation message.

Mayo Clinic Number

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:

In correspondence:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In pre-appointment questionnaires

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In medical documents:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In dismissal summaries:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In several other kinds of documents:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

Appointments by Phone

Calls may be monitored or recorded for quality purposes.

  • Mayo Clinic in Arizona
    800-446-2279 (toll-free)
    8 a.m. to 5 p.m. Mountain standard time, Monday through Friday
  • Mayo Clinic in Florida
    904-953-0853
    8 a.m. to 5 p.m. Eastern time, Monday through Friday
  • Mayo Clinic in Minnesota
    507-538-3270
    7 a.m. to 6 p.m. Central time, Monday through Friday

International patients: Please use the international appointment request form.

Referring physicians: Please use Mayo Clinic's referring physician services.

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