Request a Telemedicine Visit

Please complete the electronic form below to submit a request for a Telemedicine Visit to our scheduling team.

Telemedicine visits require access to a stable internet connection and the following websites/applications:

If you are experiencing a medical emergency or life-threatening circumstances, please call 911.

MyUFHealth MyChart

Zoom Meetings app

Please be sure to have your computer/smart device prepared ahead of your scheduled telemedicine visit appointment time.

Appointment Information

Have you previously been seen at the UF Orthopaedics and Sports Medicine Institute?

Reason for Appointment Request

Patient Information

Patient's Name

First

Middle Initial

Last

Patient Date of Birth

Patient ZIP Code

Your relationship to the patient

Your Name (if you are NOT the patient listed above)

First

Middle Initial

Last

Contact Phone Number

E-mail Address

This e-mail address is ONLY used to send you a one-time message that contains our Telemedicine Visit Setup Guide.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Department of Orthopaedic Surgery and Sports Medicine