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Request an appointment (International)

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If you are a U.S. resident, please go to appointment information.

All fields are required unless marked optional.

Patient Information

Please provide patient information as it appears on the passport.

Is the patient a United States citizen:

(optional)
The name of a parent is required if the patient is under the age of 18.

Gender:

How would you like to be contacted?

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At which Mayo Clinic location(s) have you received care?

(optional) What is this?

Does the patient need an interpreter?

If English is not the patient's primary language, we strongly encourage use of a Mayo Clinic interpreter. Mayo Clinic provides free interpretive services to non-English speaking patients during their clinic appointments.

With what will the patient need assistance?

Patient Insurance Information

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Requester Information

Who are you requesting this appointment for?

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Medical Concern

In the process of scheduling an appointment, you may be asked to send a recent medical summary in English including diagnosis, pathology reports and local physician's treatment plan. We will contact you regarding when and how to send this information. Please do not send X-ray films.

Appointment Information

Please plan on 5 to 8 business days to complete your appointments.

Appointment Type Requested:

Online Services

As a new Mayo Clinic patient, you may sign up for a Patient Online Services account. This will give you access to your medical record, appointment and billing information, and online forms. If you choose to sign up, you will receive email notification confirming your user name along with a temporary password.

Would you like to sign up for a Patient Online Services account?

6-20 letters or numbers. No spaces.
6-20 letters or numbers. No spaces.
6-20 letters or numbers. No spaces.

International Appointment Offices

  • Mayo Clinic in Arizona
    480-301-7101
    480-301-9310(Fax)
    Call toll free from Mexico: 001-800-010-1390
    Intl.mcs@mayo.edu
    Office hours: 8 a.m. to 5 p.m. Mountain Standard Time, Monday through Friday
  • Mayo Clinic in Florida
    904-953-7000
    904-953-7329 (Fax)
    Intl.mcj@mayo.edu
    Office hours: 8 a.m. to 5 p.m. Eastern time, Monday through Friday
  • Mayo Clinic in Minnesota
    507-284-8884
    507-538-7802 (Fax)
    Intl.mcr@mayo.edu
    Office hours: 7:30 a.m. to 5 p.m. Central time, Monday through Friday

Referring physicians: Please use Mayo Clinic's referring physician services.