Please complete the form below to request an appointment at a MemorialCare location near you. After completing the form, a MemorialCare representative will call you within one business day to finalize scheduling details and answer any questions you may have.
Estimating Your Costs Prior to Service
We want you to have the best possible experience with MemorialCare. Part of that is understanding your health benefits and the estimated out-of-pocket expenses you are responsible for prior to receiving services. Because health care benefits vary, we encourage you to contact your health plan to estimate your cost. Or if you are a cash paying patient, we can help you estimate your payment, or check our Cash Pricing Tool. Please contact Patient Financial Services for further assistance.
No appointments are necessary for Diagnostic Radiology (X-ray). If you have a prescription for Diagnostic Radiology (X-ray) please visit one of our locations to be seen as a walk-in.
Preferred Appointment Date & Time
Select a preferred weekday (Monday to Friday) and appointment time.
Use this format: MM/DD/YYYY
Example: 07/05/1975 (Use "/" slashes between numbers)
This setting allows you to view available services and providers associated with your preferred location. You can change this setting at any time.
Cookies are required to view location-specific content.
We’ve developed a new tool on our website allowing you to see content most relevant to you and your preferred location. It’s our way of making the information you need, more personalized.
You’ll find this feature labeled “Set My Location” throughout the website. Most often, you’ll see it in the top left corner of every page.
You’ll also find a feature that allows you to set your location temporarily, as seen below.