Request an Appointment Online

Complete this form today to request an appointment with a Mercy general or plastic surgeon. Offices are located in Canton, Ohio.

To request an appointment, you do not need to provide the patient’s date of birth, reason for visit or, if applicable, information regarding insurance and current/previous primary care physician. However, this information will be required prior to scheduling the appointment.

Some insurance providers require a physician referral in order to schedule an appointment with a surgeon. Please check with your provider for more information.