Please fill out the appointment request form below for an appointment with a Primary Care Provider.

This appointment request form should not be used for InstaCare, if you are experiencing life threatening symptoms dial 911 or go to the nearest emergency room.

To get in line at North Ogden InstaCare call 801-786-7510.

For appointments related to women's health at North Ogden Clinic, please use the Wasatch Obstetrics and Gynecology form.

We will contact you as soon as possible to schedule your appointment.


*
*
*
*
*
*
*
*