Request an Appointment
Emory Clinic at Midtown Appointment Request Form
Please complete the form below. A representative from Emory Healthcare will contact you to schedule an appointment.**
**If your medical problem is an emergency, please seek immediate treatment by calling 911 or visiting your nearest emergency room.
*** Submitting this form gives Emory Healthcare the consent to send a survey to the email provided. The survey is sent in an effort to improve the patient experience for using the online schedule request tool.