Schedule an Outpatient Appointment

Scheduling a medical test or procedure is easy.

  1. Complete the form below
  2. Fax your doctor's prescription to our Centralized Scheduling Department at 954-985-3034
  3. Our staff will contact you no later than one business day after receiving your information

If you are interested in a price quote for a specific test or procedure, call Centralized Scheduling at 954-276-5500.

Patient Information

Contact Information

Medical Information

Appointment Preference

A doctor's prescription is required for all tests and procedures.

Some insurance companies require an authorization for scheduled procedures. Memorial cannot schedule an MRI or rehabilitation service (PT/OT/ST) without a prior authorization.