Scheduling your first appointment

Please read the below information and fill out the forms to schedule your 1st appointment.

Thank you for choosing the Florida Center for Urogynecology.

To schedule your first appointment, please fill out our forms in English or Spanish.

Upon completion, please email forms to along with a copy of your photo ID and insurance card (front & back).

Please allow at least 24 hours for these forms to be processed before expecting a call from our scheduling staff.

Whether your provider recommended our office or you are self-referred, it is important that you bring or send copies of your medical records pertaining to your previous evaluations and treatments.


For your convenience, we have provided a list of insurance plans that we accept and a chart indicating the types of problems each provider addresses to be certain you are scheduled with the best provider to meet your needs.

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