University of California San Francisco | About UCSF | UCSF Benioff Children's Hospital San Francisco
Search Site | Find a Doctor

Otolaryngology - Head & Neck Surgery
Appointment Request

To request an appointment with a doctor in Otolaryngology - Head and Neck Surgery, please complete the form below and click on "Submit." A representative will call you within one business day to begin the process of scheduling an appointment.

This form is for new patients only. If you are already a patient in this clinic, please request an appointment using the patient portal MyChart.

If you have any questions, comments or complaints about your appointment request, please use our Contact Us form.

This service is for non-urgent appointments only. If you have a medical emergency, please call 911.

* Required

Patient Information

Yes

Contact Information

Yes No

Medical Information

First available doctor

Referral Information

Yes No

Please note that you will need a doctor's referral, describing your medical need, to schedule an appointment. We will ask you to fax a referral and possibly an insurance company authorization, depending on your medical plan, before confirming your appointment. Please fax these documents to (415) 353-2603.

Location and Time

M Tu W Th F
AM
PM
Select All Times
Clear All Times

Reason For Your Visit

 

To speak to a representative about making an appointment, please call the following numbers from 8 a.m. to 5 p.m., Monday to Friday:

Otolaryngology - Head & Neck Surgery
2380 Sutter St., Third Floor
San Francisco, CA 94115
Phone: (415) 353-2757

Cochlear Implant Center
2380 Sutter St., First Floor
San Francisco, CA 94115
Phone: (415) 353-2464

Voice and Swallowing Center
2330 Post St., Fifth Floor
San Francisco, CA 94115
Phone: (415) 885-7700

For help selecting a doctor, please visit our online Physician Referral Directory. You can also reach our Referral Center at (888) 689-UCSF from 8 a.m. to 5 p.m. (PST) Monday to Friday, or by email at referral.center@ucsfmedctr.org.

Security Statement