Online Appointment Request

Please review the following to help you get started:

  • This service is not for urgent or emergency situations. To make an urgent appointment, please call: 414-777-7700.
  • This form is for appointment requests only. Please complete as much information as possible.
  • Please provide adequate telephone information. A representative will call you within 1-3 business days to schedule your appointment.
  • Already a patient with MyChart? Save time by using MyChart to request an appointment with a provider you have seen within the last three years.
Patient's Address
Best Time to Contact You
CAPTCHA

Telehealth Virtual Visits

Meet face to face with your provider via MyChart on your mobile phone, tablet or desktop.