New Client Consults
All fields are required
Type of Visit
New Client Consult
PreAdmit Phone Call
Repeat Client New Pregnancy
Telehealth PN
Telehealth PP
Well Woman
Problem Visit
Follow Up
Video Visit
Office
New Client Consults
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
12220 Atlantic Blvd Ste 130 #1010 Jacksonville FL 32225
12220 Atlantic Blvd Ste 130 #1010 Jacksonville FL 32225
New and Existing patients can make appointments online.
Office Phone:
+1 229-234-2505
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
45 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment