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.

Wake Forest Baptist Ranked among Nation’s ‘Best Hospitals’ 25 Years in a Row by U.S. News & World ReportComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsNursing Magnet StatusJoint 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.