Schedule Appointment

If you are a new patient, you may fill out the form below to schedule an appointment. It will be sent to our Central Scheduling department and they will contact you within 24-48hours Monday through Friday. If you submit this form during holiday or the weekend, please allow us to contact you the next business day. If you do not get a phone call within the mentioned time frame, please call Central Scheduling at 1.800.575.0007. As an alternative, you may also call Central Scheduling to schedule your appointment instead of using this form. Because we value your privacy, your personal information will not be used by us other than to schedule an appointment.

First Name *

Last Name *

Sex
Male
Female

Date of Birth (00/00/0000) *

Best Phone Number to Reach You *

Email *

What is the primary reason(s) for your appointment? *

Where would you like to schedule your appointment?
Tampa Office
Orlando Office
Palm Beach Gardens Office
Lake Worth Office
Deerfield Beach Office
Hollywood Office
Miami Office
Hialeah Office

Will this be your first visit with us? *
No, I'm a returning patient.
Yes, I'm a new patient.

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Fee Schedule

Please click the link provided to find our Fee Schedule for the list of procedures we provide.

View our Fee Schedule

** Please note that prices are subject to change without notice.
You may call us at anytime to further discuss or Fee Schedule, Thank you.