Welcome to Stony Brook University Physicians

This login screen is for registered physicians and administrative staff use only, for access to the SBU Physicians Intranet and your My Account page.

Member Login

Lost your password?
If you are a Physician or CPMP Plan or Practice staff member seeking to establish a log on, please register.

Request an Appointment

Do you want a doctor's appointment, but don't have time to call for one? Use this form to request an appointment.

CONFIDENTIAL MEDICAL COMMUNICATION
Request an Appointment is intended for use when requesting routine appointments. At this time, only selected specialties and physicians may be contacted using Request An Appointment. If you are seeking an immediate appointment or wish to contact a specialty/physician not listed on this page, please call the doctor's office. For a listing of office phone numbers, click Office Phone Numbers.

If you need urgent medical attention, call 911 or go to the nearest emergency room.

Please complete all required fields

Patient First Name: *

Patient Last Name: *

Patient E-mail Address:

Patient Date of Birth: *

Cell Phone:*
--

Daytime Phone:
--

Best Time to Call:
AM PM N/A

Department you are requesting to see: *

Preferred Appointment Day:
Mon Tues Wed Thu Fri

Primary Care Doctor:

Patient Insurance:*

Are you a current patient of this practice?*
Yes No



The use of this form does not guarantee an appointment.
Follow-up contact with you must occur before an appointment date and time, if appropriate, is scheduled.



© Stony Brook University Physicians              Phone: 631-444-3627 - PO Box 1554 Stony Brook, NY 11790-0988              Serving Suffolk & Nassau County, Long Island, NY