Request an Appointment

Appointment Type

Please select the service an appointment is needed for. If you need to see multiple service providers, our scheduling specialist will help when they call to confirm your appointment.
Service*
Patient Status*
I'd like to also schedule an appointment for

Family MedicinePediatricsOB/GYNBehavioral HealthOptometryOtherPsychiatry
NOTE: Dental appointments can only be made by calling 407-905-8827 or 352-314-7400.
After submission of your appointment request, you will be redirected to our New Patient Intake Form. All new patients are required to complete this form before being seen by a Community Health Centers provider.
Appointment Day and Time

Please select times that work for your availability. We will do our best to accommodate your needs.
Preferred Days*

MondayTuesdayWednesdayThursdayFridaySaturday
Preferred Time*
1. Preferred Day
2. Preferred Day
2. Preferred Time
Patient Information

Please provide the requested information about the individual that is requesting an appointment.
Patient Name*

First NameLast Name
Phone Number*
Email*
Zip Code
Language*
Should be Empty:

Appointment Type