Request An Appointment

If you are experiencing a medical emergency, please call 911.

Thank you for choosing Riley at IU Health as your healthcare provider. Request an Appointment Online with the form below, and an IU Health Scheduling Coordinator will contact you by phone within the next 48 hours (not including weekends or holidays) to find an appointment that best meets your needs.

Riley at IU Health provides several convenient ways for you to schedule an appointment with our highly skilled physicians.

Patient first name*

Patient middle initial

Patient last name*

Patient sex assigned at birth*

Patient gender identity

Additional identity

Email address*

Patient birthdate*

Best contact phone number*

Is it OK to leave a voicemail at the above number?*

Yes No

You will be contacted before an appointment is offered. If you would like to provide any additional information to the scheduling coordinator, please enter it here: