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Request an Appointment

Complete all information requested below.

Once you’ve submitted the appointment form, Email copies of your insurance card (front and back), your passport and all pertinent medical reports and records to

Please note that without this information, it will not be possible to arrange the appointment(s) you are requesting, and you registration will be delayed.

If you are experiencing symptoms that are urgent in nature please contact your primary care physician or your nearest urgent care facility.

It should take less than Shape 5 minutes to complete this form.

Prefer to call? Contact us at
305-243-9100  to make an appointment. Monday - Friday 8:30 am to 5:00 pm EST.