Contact & callback request

Phone-first. Use the form for a callback only — do not include medical history, SSN, charts, or member IDs.

Request a callback

Please don’t include medical details. To reach the clinic, call (916) 964-2775 or book online.

Full name

Callback phone

Email (optional)

Preferred time

New or returning

What can we help with?

High-level reason (no diagnoses or med lists)

Insurance carrier (optional free text)

I understand this is a callback request only and I will not include protected health information. (Optional) I agree to receive text messages from Rocklin Healthcare at the number provided, including appointment confirmations, reminders and scheduling updates. Message frequency varies. Message and data rates may apply. Reply STOP to opt out, HELP for help. Consent is not a condition of care. Privacy Policy · Terms

Please call us at (916) 964-2775.

Medical services provided by 5 Rivers Health Inc