Book Appointment

Book your appointment online.

Complete the form below so our staff can review your booking details, prepare your visit, and send confirmation shortly.

Before you begin

Submitting this form starts the appointment booking process. Your appointment is not finalized until confirmed by Rios Healthcare.

Do not use this form for emergencies.

If you are experiencing chest pain, severe shortness of breath, stroke-like symptoms, severe abdominal pain, uncontrolled bleeding, or another medical emergency, call 911 or go to the nearest emergency room.

Booking confirmation

After you submit your booking details, our staff will review your request. If your selected time is available and clinically appropriate, you will receive confirmation. If a different visit type or time is needed, our office will contact you.

Patient Type Are you a new or existing patient?

Patient Information

First name Last name Date of birth Mobile phone Email Preferred contact method

Appointment Details

Visit type Preferred provider Preferred appointment date Preferred time window Urgency Visit format

Brief reason for visit

Insurance / Payment

How do you plan to pay for the visit? Insurance company, if applicable

I am interested in learning about future direct-care / membership options.

Acknowledgment I understand this form is not for emergencies. I understand my appointment is not finalized until confirmed by Rios Healthcare. I authorize Rios Healthcare Associates to contact me regarding this booking.