Request a Telehealth Appointment Complete the form below to request your Telehealth Appointment. Name* First Last Email* PhoneDesired Appointment Date* MM slash DD slash YYYY Desired Time* : Hours Minutes AM PM AM/PM Desired Location*-- Select a location --Miami/KendallDavieHialeahIs this appointment for... Physical Therapy (PT) Occupational Therapy (OT) Area(s) of Pain?