Scheduler

Appointment Type: New

Reason For Visit

(ER Follow Up)

Insurance

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Carrier

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Self Pay

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Locations for this provider | Providers at this location

Requested Appointment

Preferred

Date:

Time:

Alternate

Date:

Time:

Which type of appointment
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New Patient* Existing Patient Reschedule Cancel Prescription Inquiry

*New Patient: Has not been seen by a provider within the last 3 years.

*Please call the clinic directly if you need an appointment within 48 hours.

Patient Information

Are you making this appointment request for somebody else? Are you cancelling this appointment for somebody else?

Yes

Patient's Relationship to You

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Patient First Name Please enter your patient first name.

Patient Last Name Please enter your patient last name.

Patient Date of Birth Please enter your patient date of birth.

Patient Gender

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First Name Please enter your first name.

Last Name Please enter your last name.

Phone Please enter your phone.

Email Please enter your email.

Date of Birth Please enter your date of birth.

Original Appointment Date Please select a valid date.

Gender

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Address Please enter your address.

City Please enter your city.

State Please enter your state.

Zip Code Please enter your zip code.

Medication Please enter your medication.

Questions

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Patient Insurance

Do you want to update your existing insurance information?

Required field.

Please upload your insurance card(s), manually enter information or self pay

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Insurance Card (Front)*

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Insurance Card (Rear)*

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Insurance Carrier Please enter your insurance carrier.

Insurance Member ID Please enter your insurance member id.

Select a location

Choose from one of our convenient locations.

Please select the location for your new appointment

Select the location of your original appointment.

Fort Lauderdale

1345 NE 4th Ave,
Fort Lauderdale, FL 33304

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Boca Raton

2900 N Military Trail, Suite 201 South,
Boca Raton, FL 33431

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Aventura

2820 NE 214th St Office 701
Aventura, FL 33180

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Plantation

7050 NW. 4th St., #206
Plantation, Florida, 33317

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West Palm Beach

2151 45th St Unit 204, Building B
West Palm Beach, FL 33407

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Select a provider

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Click the provider for your appointment.

Request new appointment date/time

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Preferred Date/Time: Select an option above

Alternate Date/Time Select an option above

Select your preferred date/time above. This timeslot is no longer available. * This time slot will be reserved for only 5 minutes.

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Your appointment request has been submitted.

Your cancellation has been submitted.

We will respond within 30 minutes during business hours to schedule you with the soonest available appointment date & time. Our business hours are 8:00am - 4:30pm, Monday - Friday.

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