Request an appointment with NCMA Cardiology — Fountaingrove

Request an appointment with our cardiologists in Santa Rosa (non-urgent, office hours only).

Name*
Birthdate*
Date Format: MM slash DD slash YYYY
Phone*
Email*
Patient type*
- New patient
- Current patient
Appointment type preference
- In-office
- Telemedicine virtual visit
NCMA provider preference*
- Masis Babajanian, MD, non-interventional cardiology
- Thomas E. Dunlap, MD, interventional cardiology
- Kriegh P. Moulton, MD, cardiac electrophysiology
- Vishal Patel, MD, interventional cardiology
- Stuart Ruch, MD, non-interventional cardiology
- Toni McFadden, NP
- First available
Your appointment request*
How can we help you? Please briefly tell us the nature of your appointment request (What will we be seeing you for?), what date(s) you wish to be seen, and any other information that will help us meet your healthcare needs. We will call you soon within normal business hours to confirm your appointment. PLEASE DO NOT USE THIS FORM FOR URGENT HEALTHCARE CONCERNS. Please call our office with 48 hours’ notice if you cannot make your appointment and need to reschedule.
Your privacy*
Northern California Medical Associates will not retain your personal health information from this form. After your request has been handled by our scheduling team, the information in your request will be deleted to protect your privacy. More info: www.ncmahealth.com/notice-of-privacy-practices/
I agree to the privacy policy.
Comments
This field is for validation purposes and should be left unchanged.

Santa Rosa, California