To reschedule or cancel an existing appointment with UTMB, please complete the following form.

If you need to request a new appointment, visit our Make an Appointment page.

All fields marked with an * are required. Information provided via this form is submitted in a secure environment. Once you have submitted your information, you will receive a call or email with your appointment information within two business days.

This appointment request service is not intended for emergency or urgent situations.

Current Appointment Information
I would like to: *

(Name of doctor or other provider)

(Name of UTMB department)

Patient Information
Contact Information
Preferred contact method
(Your email address is needed so that we can contact you about your appointment. It is not shared or used with third parties.)
Reschedule Time Preference

If you would like to reschedule your appointment, please complete the information below:

You should have a response within two business days. For additional questions about your appointment, please call the UTMB Access Center at 1-800-917-8906.