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appointment request

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Please Indicate Your Residency Status in Florida
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If Answered "Medical conditions of the same kind or class" or "Other," Please Select Below. 
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PAYMENT INFORMATION

*Note: Your credit card will not be charged until your appointment is confirmed. Please allow at least 24 hours to be contacted by our staff. 

APPOINTMENT TIMES

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Please note, this is only a preferred appointment time. This does not guarantee the selected appointment time. Our Staff will reach out to confirm the selected time or let you know what else is available. 
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CANCELLATION POLICY

We strive to deliver the best possible service to our patients. If you wish to cancel up to 48-hours prior to your appointment you will not be charged a fee. We require a minimum of 48-hours cancellation notice for all appointments. There is a 100% ($125.00) fee that will be charged to your card for no-shows / cancellations without a 48-hour notice.

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