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Request an Appointment

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To request an appointment at Orlando Family Medicine, please fill out the following form. Please note that this creates an APPOINTMENT REQUEST only, NOT A CONFIRMED APPOINTMENT. Once the completed form is submitted, an Orlando Family Medicine representative will contact you to confirm the actual appointment date and time.

If you would like more information about Orlando Family Medicine or any of our primary health care services and treatments, please call 407.843.1180 or fill out the form below.

For your protection, Orlando Family Medicine does not recommend the use of email to convey personal or medical information. If you have questions that would involve such information, please call your provider directly.

If you believe you are having a medical emergency, please do not contact us via this form, call 911 immediately.


Due to the nature of our practice, requests via the contact forms on our website may take up to or more than 24-48 hours to be answered. For all urgent and time-sensitive/same-day requests, please call our office directly.

By submitting the form I authorize the electronic communication of the information I have provided to Orlando Family Medicine.