Global Health Patient Enrollment Form
Contact Us
1-954-265-3200Patient Enrollment Form
To schedule an appointment, please complete and submit the following online patient enrollment form.
You also may call 954-265-3200 (or toll-free from the Caribbean at 800-543-7135), and a Memorial Global Health representative will assist you.
Patient- and Family-Centered Care
We treat patients and family members as partners in healthcare.
It matters to you. It matters to us.
Quality and Safety Data for Memorial Healthcare System
Our goal is to provide our patients with the information they need to make informed choices for themselves and their families.
View Quality and SafetyYou have a Right to Know About Prices
We want to give you the information you need to make important healthcare decisions, including the costs of our services.
View PricingMyChart Portal
View test results, schedule follow-up appointments, request prescription refills and more.
Login or Sign-up to MyChart