Request An Appointment

  • If patient is a MINOR (under 18)

  • Requested Appointment Information

  • Do you have any medical conditions?

Various ways to “request” an appointment

  1. By completing online form ABOVE. The (*) indicates that the field requires an answer.
  2. By phone: 850-877-3183 |Mon-Fri 8:30 AM-4 PM
  3. By email:

Bring PATIENT FORMS to your appointment to reduce the amount of time spent in our office.

After requesting an appointment online, we will contact you as soon as possible. If you have not heard from us after 24 hours, please call us at (850) 877-3183. The online request is not a confirmed and scheduled appointment. We will call/email you to confirm your appointment requested.

If you are requesting an appointment on a Sunday for the next day, Monday, we might not have enough time to confirm your appointment.  Please call, we will do our best to  accommodate you.  You are, of course, welcome to call us after 8:30 AM to confirm your appointment.