Georgetown University Hospital
Appointment Request Form
Thank you for choosing Georgetown University Hospital for your healthcare services. Please complete our appointment request form and one of our healthcare professionals will contact you.
If you are experiencing a medical emergency, please call 9-1-1 immediately.
This appointment request form is secured, and the information that you provide
is confidential. If you prefer to speak with a Georgetown M.D. (medical
directory) nurse counselor who can schedule your appointment with one of our
expert physicians, please call 202-342-2400 or 866-745-2633. Nurse
counselors are available Monday through Friday, 8 a.m. to 8 p.m.
* required information