La Sierra University: Health Services

Please fill out form below to request an appointment with a physician.

Or call (951) 785-2200 for an appointment.

* Required fields
Information about you:
First Name*:
Last Name*:
Your status*:
ID #:
Phone:
E-mail:
How do you want to be notified*:	Phone E-mail
Choose a date:
Option 1:
Option 2:
Option 3:

Please notice that your appointment will only be scheduled after we contact you.