Request an Appointment

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To request an appointment as a new MUSC patient, please complete the appointment request form below. Your request will be forwarded to an MUSC Health Connection representative, who will contact you within two business days.

Please note that this online appointment request feature is for first time MUSC patients only. If you are already established with one of our physicians, please call that office directly. For a listing of MUSC phone numbers, please see our phone directory.

To make an appointment by telephone please call MUSC Health Connection at locally at (843) 792-1414 or toll-free at 1-800-424-MUSC. Representatives are available from 7 a.m. to 7 p.m. Monday through Friday.

Please read our Privacy Statement and our Disclaimer before proceeding.

Fields marked with "«" are required.

Patient Information
Patient First Name «
Patient Middle Initial
Patient Last Name «
Patient Gender «	FemaleMale
Address 1 «
Address 2
City «
State «
Zip «
Date of Birth « (mm/dd/yyyy)
Your E-Mail Address «
Your Phone Number (000-000-0000) «	CellHomeOffice
Your Information (if differed from patient):
Your First Name
Your Middle Initial
Your Last Name
Appointment Information
Insurance Information «
Who is your family doctor?
What type of doctor would you like to see?
Name of MUSC physician you would like to see
Reason For Appointment « (diagnosis, symptoms, additional information etc.)



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