Emergency requests cannot be processed through this form. If you are experiencing a medical emergency, please dial 911 or go immediately to the nearest emergency room.
This form is a secure form and the information you provide will be kept confidential.
This form should be used for non-urgent appointment requests only. If you prefer to speak with someone immediately please call Mercy Personal Physicians at Glen Burnie at 410-761-2273.
If you are submitting this request during non-business hours, please allow additional time for a representative to contact you.
Please call your doctor or the Mercy scheduling center during regular business hours. This form cannot be used to schedule surgical procedures.