Book Appointment - MediCare Hospital

Schedule Your Visit

Fill out the form below to book an appointment with our specialists

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First Name*

Last Name*

Email Address*

Phone Number*

Department*

Doctor

Preferred Date*

Preferred Time*

Reason for Visit*

Emergency: 24/7

Outpatient: Mon-Fri, 8am-6pm

Weekend: Sat, 9am-1pm

1-800-123-456

appointments@medicarehospital.com

123 Medical Center Dr, Healthville, HV 12345

- Please arrive 15 minutes before your appointment

- Bring your insurance card and ID

- Bring a list of current medications

- Reschedule at least 24 hours in advance if needed