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American Family Children's Hospital
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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 physician. 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
 
Address
 
City
 
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 physician immediately.
 
 
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