Request an Appointment with a Specialist

St. Louis & Southern Illinois

Submit an appointment request.

Complete the form to request an appointment with a specialist.

First Name *

Last Name *

Birth Date *

Email Address *

City *

State *

ZIP *

Phone *

Select Region *

Southern Illinois

St. Louis

Select Specialty *

I have read the Notice of Privacy Practices. *

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Request an appointment for the care you need.

Requesting an appointment with a specialist at SSM Health is simple. Submit the appointment request form, and an SSM Health team member will contact you within three business days to help schedule your visit or assist with obtaining a referral from your primary care provider.

If a referral is required, the specialty clinic or the specific provider’s office will contact you within three business days of receiving that referral to schedule your appointment. We’re here to make the process easy and convenient so you can focus on your health.

Specialties scheduling via this form:

Endocrinology
Gastroenterology
General Surgery
Nephrology
Neurology
Orthopedics
Otolaryngology/ENT - Available in St. Louis
Podiatry
Pulmonology
Sleep Medicine
Urology
Vascular Services
Wound Care

For cardiology, complete our heart and vascular specialist request form.