To request an appointment, please complete all of the fields below and press “Submit”. If you need to request an appointment for dyslexia/learning disorders, please visit the Center for Dyslexia Application Process section of the Dyslexia page.
If you are a current Scottish Rite patient with mySRH access and have a question for your provider, please access your mySRH Patient Portal account.
Note: If you are a referring health care professional, please complete the Referring Health Care Professional Request form.
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