Appointment Request

Please fill out your information in the form below. You may also call us at 843-792-1414 for assistance between the hours of 8:30 a.m. and 5:00 p.m. Monday through Friday.

If you are a referring physician, please use the referral request form.
IF YOU'RE HAVING AN EMERGENCY -- PLEASE CALL 911.

Patient Information
Fields marked with a * are required.

Patient First Name
Patient Last Name
Daytime Telephone
 
Email Address
 
Choose a Specialty

Optional Information

By providing additional information requested below you will help us process your request more accurately.
Street Address
City
State
State
Zip Code
mm/dd/yyyy
Your First Name*
Your Last Name*
Your Relationship to the patient*
Choose One
Existing MyChart Users
Important MUSC Health Phone Numbers

New Patient Assistance

843-792-1414
Mon-Fri 8:30 a.m. - 5:00 p.m.

MUSC Operator

(not for scheduling)
843-792-2300
24 hours a day

MUSC Health Scheduling Directory

Directory of all MUSC Health locations (pdf)
For Physicians

Physician Referrals

Referral Request Form