Request an Appointment

Request An Appointment

Our online request an appointment feature is for patients who would like to schedule a future appointment and is not intended for same day appointments. If you need an appointment today, please contact your physician practice directly.

Your request will be sent to a NMG representative who will contact you to assist in scheduling an appointment.

If you are having a medical emergency and are in need of immediate assistance, please call 911.

* denotes required fields

1. Appointment
2. Patient
3. Confirmation

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Rowan Regional Medical Center
612 Mocksville Avenue
Salisbury, North Carolina 28144
704-210-5000

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704-210-5000

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Appointment Information
Specialty
Physician Requested	or
Location-First Choice
Location-Second Choice

Patient Information
First Name *
Last Name *

Address *
City *		State *	Zip *

Daytime Phone
Evening Phone		Best time to be reached
Email Address		Preferred method of contact *	EmailPhone
Gender
Health Insurance	YesNo	If Yes:
Requestor's Information
Same as patient's information
First Name *
Last Name *

Daytime Phone
Evening Phone		Best time to be reached
Email Address		Preferred method of contact *	EmailPhone

Request an Appointment

Request An Appointment

Appointment Information

Patient Information

Requestor's Information

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