Online Appointment Scheduling Tool
Member ID
*
Select an Appointment Date and Time
Member Name
*
Date of Birth
-
Month
-
Day
Year
Date
Select Service to Schedule
Please Select
Retinal Screening
Care Management Visit
Hearing Screening
Vision Screening
Dental Screening
Health Plan ID
Please choose your preferred communication method to receive your appointment confirmation.
Please Select
Text Message
E-Mail
Phone
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Comments
NOTE: Please advise the member of the three-hour visit window.
Schedule
Should be Empty: