Request an Appointment

This form is for new patients seeking assistance scheduling an appointment. Complete the following information for the person needing the appointment:

 

Doctor Name:

*First name:

*Last name:
*Date of birth (mm/dd/yyyy):
*Phone number:
*E-mail address:
Reason for appointment/Symptoms:   
 
   
  *indicates a required field  

Our staff will call you on the first business day after you submit this form. Call Center hours are 8:00 am to 5:00 pm, Monday - Friday. Thank you! 
  

 

Quick Reference

New Patient Appointments

Phone 336-716-WAKE
Or 336-716-9253
Toll-Free 888-716-WAKE

Ways to Give

Spotlight

Same Day/Next Day Appointments

Same Day/Next Day Appointments

We are now able to see most new and existing primary care patients in 24 hours or less - often the same day or next business day. Take advantage of faster access to our most requested services.

Six Wake Forest Baptist Specialties Earn U.S. News RankingsComprehensive Cancer Centers National Designation is RenewedMagnet Hospital Recognition2015 Best DoctorsJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

© Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved.