Book an Appointment

Online Appointment Request

Please complete the form below to request an appointment. Our scheduling team will contact you within 1-2 business days to confirm your visit. If you have any questions, please call our office at 772-398-7814.

Book An Appointment

Email Address

Do you have health insurance?
YesNo

We welcome cash-pay patients! Please call our office directly at 772-398-7814 to schedule.

📞 Call to Schedule

Select Your Insurance Company:

Plan Type:
PPOHMO

Upload Required Documents:

Insurance Card (Front):

Insurance Card (Back):

Driver’s License:

Patient Info:

Full Name:

Email:

Date of Birth:

Phone Number:

🛑 HMO Plan Notice: We do accept HMO plans, but a referral from your primary care provider is required before scheduling.

The referral must include:

Your diagnosis
Authorization for at least 6 visits
Zero-visit or missing-visit-count referrals will not be accepted

Have your provider fax the referral to: 772-398-7812

Once we receive your referral with the correct visit count, we will contact you to schedule.

Online Appointment Request