Request an Appointment at the Center for Dizziness and Balance - - 18cafe.info

Dizziness and Balance Disorders

Request an Appointment at the Center for Dizziness and Balance

To request an appointment at the Crozer-Keystone Center for Dizziness and Balance at Springfield Hospital, complete this secure appointment form below or call 610-338-2796 during business hours. For 24 hour, seven days a week service, call 1-877-95-DIZZY (1-877-953-4999). Our representative will respond to your request within the next business day.
Please fill out the following fields as completely as possible.
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Patient Information

Type of Service Needed

What do you need an appointment for?

Dizziness/Balance Problems

What kind of dizziness/balance problems are you experiencing? You can check more than one

Referring Physician Information

Please note that a prescription from a physician and/or an insurance referral may be needed to schedule an appointment for services with the Center for Dizziness and Balance. If you do not have the necessary documents, we can help you to obtain them.
Do you have an insurance referral for your appointment from your primary care physician?
Do you have a prescription for your appointment from a physician?

Diagnosis/Code on Your Prescription

Insurance Information

Appointment Preferences

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How did you hear about the Crozer-Keystone Center for Dizziness & Balance Appointment Website and Hotline

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