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Request an Appointment

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To contact us or to request an appointment at the Florida Epilepsy Center, 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 representative from Florida Epilepsy Center will contact you to confirm the actual appointment date and time.

For your protection, Florida Epilepsy Center does not recommend the use of e-mail 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 Florida Epilepsy Center.