Clinic Appointment Form

For life threatening emergencies, please call 911. Do not fill out a request. Submissions to this form are not monitored 24 hours a day.

Our providers continue to see patients during this time, with options for phone, video and in-person visits. Please complete the appointment request form below or call us at 1-855-FAIRVIEW (1-855-324-7843) and we can help you schedule a visit. If it's possible to see your provider through a video visit, we'll guide you through that process.

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