To request an appointment online, please complete the form below. If you are a physician or health professional, please use our Refer a Patient Form.
This service is for non-urgent appointments only. If you have a medical emergency, please call 911. This is a secure form and any information you provide will be handled in strict compliance with applicable privacy laws.
For appointments by phone, please call (415) 885-3606 for the Center for Colorectal Surgery or (415) 885-7673 for the Center for Pelvic Physiology.
Please note this is a request only and is subject to program restrictions and availability.