RAMCare Appointment Request Form
RAMCare Appointments are available for scheduling weekday nights from 5-9pm or Saturday from 11-4.
Your name
(First name, Last name)
Your answer
URI ID number
Ex: 100xxxxxx
Your answer
Phone number
The most accessible point of contact
Your answer
Email address
Please list an email address that you would like to receive your Appointment Confirmation email and potential further inquiries.
Your answer
When would you like to make the Appointment for?
Please note that we are available for RAMCare Appointments from 5-9pm Monday through Friday and 11-4pm on Saturday. We cannot guarantee that the date you request will be available.
MM
/
DD
/
YYYY
What time frame would you prefer?
Please note that we are available for RAMCare Appointments from 5-9pm Monday through Friday and 11-4pm on Saturday. We cannot guarantee that the time you request will be available.
What would you like to make an Appointment for?
Required
Please describe what issues you are having.
Please be as descriptive as possible so that we can provide the best service.
Your answer
Submit
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