Step 1 of 6
Request an appointment
Name and mobile only — nothing is booked yet. Our team will reach out to schedule your visit.
We'll text your appointment details here.
Please enter your name and a 10-digit mobile number.
Step 2 of 6
What brings you in?
Pick the visit that fits best. Not sure? Choose “Something else” and we'll sort it out with you.
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Step 3 of 6
Are you a new or existing patient?
Existing patients skip the paperwork — we already have your chart on file. Now accepting new patients.
Step 4 of 6
A few more details
This helps us set up your chart and check coverage.
Affiliated Health Clinics · St. Petersburg, FL
Required to set up your patient chart.
Pick from the list, or type your plan if it isn't shown. Paying out of pocket? Choose Self-pay.
Card photos are optional — you can bring your card to your visit.
Please complete the highlighted fields.
Step 5 of 6
When works best for you?
We're open Monday–Thursday 7am–4pm and Friday 7am–12pm. We'll offer times that fit.
Step 6 of 6
Review your request
Double-check everything looks right, then send your request. We'll be in touch to schedule.
Visit type
Preferred time
Location1515 22nd Ave N, St. Petersburg, FL 33704
Name
Contact
Date of birth
Insurance
This sends an appointment request — no time is booked yet. Our team will be in touch by text or phone to schedule.
Request received
We've received your request. Our team will be in touch to schedule your visit.
Visit type
Preferred time
Location1515 22nd Ave N, St. Petersburg, FL 33704
Or call us at (727) 322-4227.