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UTHealth Houston COVID-19 Center of Excellence Appointment Request

To schedule an appointment, complete the form below or call (713) 486-CO19 (2619) to speak with a patient access representative.

Please Note: If you are experiencing symptoms that are urgent in nature, please contact your primary care physician or your nearest urgent care facility.

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Patient Information


Patient's Birth Date*
Please provide the best number to reach you at for health-related matters.

Appointment Information


Request as a Telehealth Visit

Insurance Information



Terms for Online Appointment

The information we collect from the online form is used only for appointment scheduling purposes. Any follow up phone calls or email communications will be related to your care.

You and UT Physicians or any of its health care providers do not have a patient-provider relationship.

In addition, information provided on the website or any response to you is not and cannot be considered medical advice or treatment.

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