Catholic Health - Appointment Request Form

Request an Appointment
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email (Optional)
example@example.com
What type of care are you looking for?
If other, please specify the type of care below:
Online Lab Appointments Now Available

To schedule an appointment online, visit chsbuffalo.org/blood-draw.

Prefer to speak with someone? Call (716) 862-1150 and our team will help schedule your lab visit at a time that works best for you.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the best time to reach you?
Please verify that you are human
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Request an Appointment