Make an Appointment

You can request an appointment with a specific doctor, or we can assist you in choosing one to meet your specific needs. For information on our doctors, please click on “Our Doctors” on the top of the page.  You may contact our office for additional information at (305) 243-6946 or toll-free (if you are calling within the United States ) at (800) 996-3783.

To make an appointment on-line complete the form below.

Patient Information

Gender: Male Female

Appointment Information

Referring Physician Information

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Insurance Information

You will be contacted in order to review insurance coverage and obtain additional demographic information. Medical and financial eligibility need to be established prior to confirming an appointment. To expedite this verification, you may provide us with the following optional information.

Information collected from this website or provided on any form you have submitted through the website is used only in conjunction with an expressed interest by the User in obtaining additional information about the University of Miami's physician practice or services. It does not create any type of relationship between the individual providing the information and the University of Miami or any of its physicians. This information is not considered Protected Health Information (PHI) and will be used to contact you because you have requested that you be contacted. In addition, information provided on the website or in any response to you is not and cannot be considered medical advice or treatment. The University of Miami will not be liable for and you will release and hold them harmless from any claims and/or any direct, indirect, consequential, special, exemplary, or other damages arising therefrom. Please consult with your doctor for medical advice or treatment for any condition you may have. If you are experiencing a medical emergency, call 911 and/or go to the nearest emergency room.

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