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Request an Appointment or Virtual Visit

We want to help you in requesting an appointment or virtual visit with our providers at USA Health. Use the form below to fill in your personal information, medical need, health insurance and preferred doctor, if applicable.

Existing patients who have registered for the MyUSAHealth patient portal can use the portal to view or cancel previously scheduled appointments.

Please note that you should receive a reply within one business day. If you have an urgent need, please call the location where you receive care. If this is an emergency, please call 911.

Patient Information

Patient StatusI am a
Date of Birth

Appointment Information

Preferred Provider

Contact Us

For questions or to request an appointment by phone, please call (251) 434-3711.

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