Online Appointment

   
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  MAKE YOUR APPOINTMENT

This feature is to be used for non-emergency, non-urgent appointments only. This feature should be used ONLY for well child visits and  physical exams.

Our staff will check availability for these appointments during our regular weekday business hours and make every effort to respond to your request within 72 hours.

If this is an emergency, call your doctor's office and indicate to the answering service that it is an emergency, call 911, or take your child to a hospital Emergency Room.  

If your child is ill, please call us at one of the numbers below to schedule an appointment by phone.

  • Aventura: (305) 682-9877
  • Boca Raton: (561) 477-7700
  • Boynton Beach: (561) 733-4400
  • Chapel Trail: (954) 430-9300
  • Coconut Creek: (954) 971-3210
  • Coral Springs: (954) 341-0074
  • Hollywood: (954) 966-8000
  • Jupiter (561) 627-7930
  • Lauderdale Lakes (954) 486-8020
  • Lighthouse Point: (954) 941-3255
  • Miami Beach: (305) 532-3378
  • Miami Lakes: (305) 821-8611
  • Pembroke Pines: (954) 431-8000
  • Plantation: (954) 424-7000
  • Royal Palm Beach: (561) 798-9417
  • St. Lucie West: (772) 336-2818
  • Skylake: (305) 940-6016
  • Sunrise: (954) 741-4280
  • Westchester: (305) 225-2500
  • Weston: (954) 389-7000
  • 45th Street: (561) 863-5757

ONLINE APPOINTMENT FORM

(NOTE: If you'd like to view a calendar to help in selecting an appointment date,
click here or scroll to the bottom of the page.)

*Denotes required field

Child's  First Name*
Child's Last Name*
Sex* Male    Female
Date of Birth*   Month Day Year (yy)
Chart Number
Guarantor*
Guarantor Address*
Guarantor City, State, Zip*
Daytime Phone*
Your E-Mail*
(i.e. myaddress @yahoo.com)		  
Appointment Type*
IMPORTANT: This should not be used for urgent matters. In emergencies, call your doctor's office, call 911 or visit an emergency room.
Physician/Clinician*
Location*
Comments
Appointment Choice 1:
For online appointments, we will attempt to respond within 72 hours. Please select your dates accordingly. If you need a quicker response, please call.
Date:
 
Time Range:
AM    PM  
Notes:
  

Appointment Choice 2:
For online appointments, we will attempt to respond within 72 hours. Please select your dates accordingly. If you need a quicker response, please call.
Date:
 
Time Range:
AM    PM  
Notes:
 

Appointment Choice 3:
For online appointments, we will attempt to respond within 72 hours. Please select your dates accordingly. If you need a quicker response, please call.
Date:
 
Time Range:
AM    PM  
Notes:
 
 
Are you willing to see another physician/clinician if yours is unavailable?
YES    NO  
 

   

Top

Calendar (click here to return to appointment form)
 For online appointments, we will attempt to respond within 72 hours.
Please select your dates accordingly. If you need a quicker response, please call.