Request an Appointment
![](https://www.orlandohealth.com/-/media/images/campaigns/afib/fy19/callout-ohhi-alternate.jpg)
If you are experiencing a medical emergency, call 911 immediately.
The following form creates an appointment request only, not a confirmed appointment. Upon completion of this form, an Orlando Health team member will contact you in a timely manner to follow up on your request. By submitting this form, you agree to receive health information through email from Orlando Health and its affiliates.