Book an Appointment | Exceptional Health Brandon, FL

Accepting new patients
NP-owned & operated
By appointment

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Appointment

Request an Appointment

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Patient information

First Name

Last Name

Date of birth

Phone Number

Preferred contact method

Phone call Text message Email

Are you a

New patient Established patient

Visit type

New patient visit Primary care / follow-up Sick / acute visit Chronic disease management Medication management Weight management consultation Annual / preventive visit Telehealth visit Other

Appointment type

In-office Telehealth

Preferred date

Preferred time

Brief reason for visit

Acknowledgment

I understand that submitting this form is an appointment request and **does not guarantee an appointment**. My appointment is confirmed only after I receive confirmation from the practice.

I understand that this appointment request form is not for medical emergencies. If I am experiencing a medical emergency, I should call 911 or go to the nearest emergency department.

I consent to being contacted by Exceptional Health Walk-In Primary Care LLC by phone, text message, or email regarding my appointment request.

Please do not include sensitive medical information in this appointment request form. Additional health information and required patient forms will be collected securely

Personal, accessible primary care for Brandon and the surrounding community.

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Book Appointment

675 W Lumsden Rd, suite#2, Brandon, FL 33511 · 813-997-8382