North Shore Health Department

Please complete the form below to submit a request for an appointment with the North Shore Health Department. Be sure to complete all the blanks on the form.

Submitting this form does not guarantee you an appointment, but issues a request to us. You will receive a personal confirmation by email and/or phone when your appointment is scheduled.

Please note that same-day appointments are subject to the availability and discretion of our staff. While we make every effort to accommodate individuals seeking same-day appointments, we may have limited availability due to high demand or scheduling constraints.

***COVID-19 tests & vaccines not available via e-request***

We do not conduct COVID-19 testing at NSHD.

Testing options in Milwaukee County: COVID-19 Testing Sites - IMPACT Inc.

eAppointment Request

First Name
Last Name
Patient Name
Daytime Phone
Address
City
Email Address
Date of Birth
Appointment Reason / Clinic
Appointment Date/Time Desired
Other Notes / Comments

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eAppointment Request

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