Online Appointment Form "*" indicates required fields Are you an existing patient?* Yes No Name* First Last Email* Phone*What state do live in?*Choose a stateFloridaTexasSelect your desired clinic location*Choose a clinic locationFlorida: Altamonte Springs - 499 E Central ParkwayFlorida: Boynton Beach - 10301 Hagen Ranch RoadFlorida: Brandon - 1369 Providence RoadFlorida: Clearwater - 2730 McMullen Booth RdFlorida: Jacksonville - 11705 San Jose BlvdFlorida: Lakewood Ranch - 6310 Health ParkwayFlorida: Melbourne - 7000 Spyglass CourtFlorida: Merritt Island- 450 East Merritt Island CausewayFlorida: New Port Richey - 2114 Seven Springs BlvdFlorida: Orange Park - 1731 Wells RdFlorida: Orlando - 7376 Stonerock CirFlorida: Orlando (Millenia) - 1724 33rd StFlorida: Orlando (South) - 11251 South Orange Blossom TrailFlorida: Palm Beach - 6910 S. Dixie HwyFlorida: Seminole - 10875 Park BlvdFlorida: St. Petersburg - 6449 102nd Ave NFlorida: Sun City Center - 920 Cypress Village Blvd.Florida: Tampa (Bruce B Downs) - 14438 University Cove PlFlorida: Tampa (Habana) - 4730 N Habana Ave.Florida: Tampa (Westchase) - 10903 Sheldon RoadFlorida: Wellington- 10115 Forest Hill BoulevardFlorida: Wesley Chapel - 2818 Cypress Ridge BlvdFlorida: Winter Haven - 7518 Cypress Gardens BlvdSelect your desired clinic location*Choose a clinic locationTexas: Dallas - 7515 Greenville Ave Suite 500Texas: Duncanville - 407 West Danieldale Road Suite 100Texas: Fort Worth North - 4364 Heritage Trace ParkwayTexas: Fort Worth South - 6900 Harris ParkwayTexas: Hurst - 1717 Precinct Line RoadTexas: McKinney - 2730 Virginia ParkwayTexas: Plano - 6957 West Plano ParkwaySelect your appointment date* MM slash DD slash YYYY Note: If you need to schedule a SAME DAY or NEXT DAY appointment, you must call our scheduling department directly at 1(800) 400-7762.Select your appointment time*Please pick a time8am9am10am11am12pm1pm2pm3pm By submitting this form, you acknowledge and consent to be contacted by our team regarding your appointment via SMS, email, or phone call. These communications may include appointment confirmations, reminders, and other scheduling-related updates. Message and data rates may apply. We value your privacy. All communications are conducted in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and all applicable federal and state privacy laws. Please do not include any protected health information (PHI) or sensitive medical details in this form or in response to automated messages. You may opt out of non-essential communications at any time by following the unsubscribe instructions in our message(s). CAPTCHA