Services We Provide
For Health Professionals
About Your Health
To request an appointment, please fill out the form below.
If you have any questions or would like to make an appointment by phone, please call the DOCS line at 202-877-DOCS.
In order for you to request an appointment electronically, you will need to provide confidential medical information. By proceeding through this notice and providing the requested demographic and medical information, you consent to the disclosure of such information to the relevant MedStar Washington Hospital Center clinical staff. The information that you provide will be placed into our electronic database. Your specific information will be accessed and used only for scheduling purposes. Aggregate data (without patient identifiers) may be analyzed at a later date. The information that you provide will not be shared with other organizations, and cookies or other tracers will not be used to collect information or track your computer use. If you do not wish to transmit your medical information electronically, you should call MedStar Washington Hospital Center at 202-877-DOCS to request an appointment.
* Indicates required field
Date of Birth
Health Insurance Provider(HIP)
Where to contact you:
Name(if different from patient name)
Referring Physician(if applicable)
Have you seen this physician before?
Have you been a MedStar Washington Hospital Center patient in the past?
Please tell us about your medical condition and what type of appointment you are requesting.
How did you hear about us?
Click here to Select
Please indicate when we can reach you during the day
between 8:30 AM and 4:30PM.
All times are Eastern Standard Time(USA).
110 Irving Street, NW · Washington, DC 20010 · MedStar Washington Hospital Center · (202) 877-7000