This appointment request form is NOT intended for emergency appointments. If this is a medical emergency call 911 or head to your nearest emergency room. Do not submit appointment requests for medical emergencies, these requests are not monitored 24/7, please allow up to 72 hours for a response. If your matter requires attention before the allotted response time, please call our main number 954-753-2411 to speak with a staff member or the on-call physician. Date selection and time is not a guarantee of a scheduled appointment. A staff member will call you back to confirm the appointment. Please be sure to include your FULL NAME, DATE OF BIRTH, CONTACT PHONE NUMBER, EMAIL, REASON FOR APPOINTMENT, AND INSURANCE INFORMATION when submitting your request.