Request an Appointment

If you are experiencing a medical emergency, please call 911 or seek medical attention immediately.
We will contact you within 1-2 business days to review your appointment request.

1. Type of care and preferred times

Do you/the patient currently have a Northeast Medical Group primary care clinician?
What kind of appointment would you like to schedule?
Select the days you prefer.

Select the times your prefer.
Select the provider's gender you prefer.

2. About the Patient

Best time to reach you. Check all that apply.

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