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Appointment Request

Please view our office hours and then fill in the following form to request an appointment.

Please also specify the location: VIERA or COCOA BEACH ​​​​​​​

You will receive a confirmation call to verify, before any appointment is scheduled.


Date and Hour for Requested Appointment (Please check our office hours)

Please tell us if you are a current patient, or are requesting to become a new patient.


NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

Office Hours

Cocoa Beach

Monday 9:00am - 12:00pm 2:00pm - 6:00pm
Tuesday 9:00am - 12:00pm        -----------------
Wednesday 9:00am - 12:00pm 2:00pm - 6:00pm
Thursday 9:00am - 12:00pm 2:00pm - 6:00pm
Friday 9:00am - 12:00pm 2:00pm - 5:00pm
Saturday closed
Sunday closed

Viera/Rockledge

Monday 8:30am - 1:00pm 3:00pm - 5:00pm
Tuesday 8:30am - 1:00pm        -----------------
Wednesday 8:30am - 1:00pm 3:00pm - 5:00pm
Thursday 8:30am - 1:00pm 3:00pm - 5:00pm
Friday 8:30am - 12:00pm      -----------------
Saturday closed
Sunday closed

**ATTENTION**
Above are Patient Adjusting Hours - other hours may be available for consultation or questions. Please call for more info.