Request an Appointment

If you are experiencing a medical emergency, please call 911 or go to the nearest emergency room immediately.

Please note: This form is intended for new patients. If you are an existing patient, please schedule through MyChart or call the office directly. Thank you!

If you would like to request an appointment with a physician or specialty not currently available through online scheduling, please fill out the form below. A member of our appointment scheduling staff will contact you within one (1) business day to assist you in scheduling an appointment.

If you would like to use our online Physician Directory to locate a particular physician or specialty and contact the physician's office directly.

If you would like to speak with someone directly, please call the Reading Hospital Help Line at 484-628-HELP (4357).

* Denotes required fields

Patient Information

* Gender
If entering a Cell Phone Number, do you authorize text message appointment reminders?
* Is the person requesting the appointment different from the above patient?

Appointment Request

*If interested in Weight Loss Surgery, please click here first to complete the online information sessions.

Preferred Appointment Day

Completing this form is the first step toward helping you schedule an appointment with one of our providers. A member of our appointment scheduling staff will need to contact you for additional information before an appointment date and time can be offered and scheduled. Once an appointment is scheduled, you may receive automated reminders letter, phone call and/or text message prior to your appointment date.