Request to schedule an appointment

If you are a physician requesting an appointment for your patient at a Children's Hospital clinic, use the form below. You also can call our Central Scheduling office 7:30 a.m. to 5:30 p.m., Monday through Friday at (414) 607-5280 or (877) 607-5280 (review the information required before you call).

This form is not for urgent health problems, same-day appointment, or appointment cancellations.

Items with a red asterisk are required.

Request to Schedule an Appointment - For Medical Professionals

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