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Request an Appointment

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To request an appointment at Cancer Institute of Florida, 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, a Cancer Institute of Florida representative will contact you to confirm the actual appointment date and time.

For your protection, Cancer Institute of Florida 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.


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 Cancer Institute of Florida.