Request An Appointment Online

ER - Madison

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Request an Appointment

For new patients, please complete this form to request an appointment with a UnityPoint Health provider. If you are a current patient with a MyUnityPoint account, please click here to schedule an appointment with your provider. 

Notice: This form is not for urgent health problems, same-day appointments, medication requests or appointment cancellations. For medical emergencies please call 911. 






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