Request an Appointment

This form is for NON-URGENT APPOINTMENTS ONLY.

User Privacy Rights

Please complete the information below. Once submitted, our office will contact you within one business day to schedule your appointment. If you have an emergency, call 911 immediately or go to your nearest emergency room. We do not respond to emergencies through this website.

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  • Step 1: Select a Provider or Specialty

    Specialties
      Providers
      • Step 2: Select a location

      • Step 3: Enter your information

        Phone Number
        Are you a new or existing Florida Medical Clinic Patient?