Request Appointment

If you would like to request an appointment at our office, please fill out and submit the form below, or call us at (352) 371-4120 Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment.

If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (352) 371-4120 and DO NOT use the form below.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.