American Family Children's Hospital

Request an Appointment at the Facial Nerve Clinic

To request an appointment electronically with UW Health's Facial Nerve Clinic, complete the form below.


Important note: If you are experiencing facial nerve weakness and have not been evaluated, you should immediately contact your primary care provider. If you cannot be seen by your doctor, go to the nearest emergency room so that the emergency doctor can rule out other serious causes and discuss medications with you.


Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance.



First Name
Last Name
State and ZIP
Phone Number (Include Area Code)
e-mail Address
Reason for Request
If you are experiencing new facial paralysis, please contact your primary care provider immediately. If facial weakness persists three months after your initial symptoms, the team at the Facial Nerve Clinic should evaluate you.
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