Physician Appointment Request Form
To request an appointment with a Ascension Sacred Heart physician, please complete the form linked below
Before you begin . . .
- Please dial 9-1-1 if you are experiencing a medical emergency or require medical assistance. This form is not to be used for emergencies.
- No Appointment Changes: If you are trying to change an appointment with your doctor, please contact your doctor's office via telephone to reschedule. Click here to access the Ascension Physician Directory.
- Appointment changes submitted through this form will not be processed.
- Appointment requests are reviewed Mondays through Fridays from 9 AM to 5 PM.
- Requests received after 5pm on Fridays are reviewed on the following Monday.
- Requests received during a holiday will be processed on the next business day.
- Your request may take more than 24 hours to process.
We're here for you! If you'd like to make an appointment by telephone or if you have questions about our services, call us at 850-416-2337 (Monday through Friday, 9 am - 4:30 pm).