Telehealth / telemedicine video conference visits

Request a telehealth appointment

Request a telehealth/telemedicine appointment with NCMA providers, (non-urgent, office hours only).
  • Date Format: MM slash DD slash YYYY
  • If you are new to NCMA, choose the type of provider you wish to see.
  • NCMA Cardiology — Fountaingrove
  • NCMA Cardiology — Sonoma
  • NCMA Cardiothoracic Surgery
  • NCMA Otolaryngology | Head & Neck Surgery | Ear, Nose & Throat
  • NCMA Family and Internal Medicine — Petaluma
  • NCMA Internal & Family Medicine — Mendocino
  • NCMA Family Wellness Medical Center
  • NCMA Foot and Ankle Center
  • NCMA Rheumatology — Santa Rosa
  • NCMA Vein Center
  • 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.
  • This field is for validation purposes and should be left unchanged.

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