Request an Appointment

Complete the form below or call the Physician Referral Service toll-free at 888-362-2500 between 8 a.m. and 5 p.m., Monday through Friday.

A Referral Advisor will call you within the next business day to assist you in coordinating a new patient appointment with the DMC Physician you have selected.

Note: The Request an Appointment feature connects patients with physicians through a three-way conference call; the Referral Service does not have direct access to physician schedules. If you prefer you may contact the physician office directly.

Step 1

Physician:

- or -

Specialty:

Step 2

Patient First Name:

Patient Last Name:

Please enter in month/day/year format - example: 01/01/1970.

Patient Birthdate:

Open the calendar popup.

Requestor’s Name,
if different from patient:

Phone:

Best time of day to Call:

Email:

Please add me to the Detroit Medical Center Email Update list.

Insurance Provider:

I would like DMC to email me information about its programs, events and services.

Information collected will not be sold, shared or used for future marketing or other communication beyond this request, unless you have consented to receive Email updates from DMC.