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Request An Appointment - WIMC

First Name*
Last Name*
Phone Number*
Date of Birth*
MM slash DD slash YYYY
Reason for Visit*

Provide a short explanation,, i.e. sick visit, physical, follow up, procedure, state current problem, Nutrition consultation, etc. IF THIS IS AN EMERGENCY PLEASE CALL 9-1-1
Type of Insurance*
Speciality*
Doctor*
Preferred Date
MM slash DD slash YYYY
Preferred Time
Please pick the best time range you would prefer for your appointment.
Name
This field is for validation purposes and should be left unchanged.

New Patients – You can request an appointment by filling out the contact form above or by our office at 919-781-7500.

Existing Patients – You can request an appointment with the form above, via your patient portal account by clicking here ,or you can call to schedule at a 919-781-7500.

Internal Medicine Doctors, Pediatrics or Nutrition Counseling Appointments: 919 781-7500

Wake Gastroenterology: (919) 781-7515

Wake Womens Health: (919) 719-2600

Wake Sports Medicine (nonsurgical orthopedics): (919) 719-2270