After submitting this form, a scheduler will contact you within 24 hours, Monday through Friday. For assistance, please call 606.780.5500. If you are experiencing a medical emergency, call 911 or go to the nearest hospital. St. Claire Regional Medical Center's Emergency Department is open 24 hours a day, 7 days a week.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
May we contact you about your appointment by email?
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YES
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Patient Gender
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Male
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Date of Birth
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Month
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Day
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Date
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Select a specialty
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Please Select
Primary Care
Dentistry
Cardiology
Family Medicine
Gastroenterology
Hematology
Neurology
Obstetrics (St. Claire Primary Care)
Oncology
Orthopedics
Pain Management
Pediatrics
Podiatry
Pulmonology
Sleep Medicine
Sports Medicine
Surgery - Bariatric
Surgery - General
Surgery - Orthopedic
Surgery - Plastic & Reconstructive
Surgery - Vascular
Urology
Weight Loss Center
Wound Care
Select your preferred location(s). Check all that apply.
Virtual
Frenchburg
Morehead (Downtown)
Morehead (North)
Olive Hill
Owingsville
Sandy Hook
Would you like to see the first available provider or your preferred provider?
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First Available
Preferred Provider
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Select an appointment type.
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Office Visit (In-Person)
Virtual Visit
Curbside Virtual Visit
Dental appointments cannot be requested online at this time. Please call 606.783.7701 to schedule an appointment at our Frenchburg or Morehead locations.
Please select the days and times that you are available. (Check all that apply.)
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No preference. First available.
Monday (AM)
Monday (PM)
Tuesday (AM)
Tuesday (PM)
Wednesday (AM)
Wednesday (PM)
Thursday (AM)
Thursday (PM)
Friday (AM)
Friday (PM)
What is the reason for your appointment?
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Check-Up
Follow-Up
Illness
Injury
Medication Refill
Other
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