Testimonial:
My mother enjoyed her visit with the Dr. Fagan. Thanks for sending the forms early. Thanks again.

— Ron B.
Merritt Island, Florida

Today is Sunday, August 19, 2018

Contact Us

Please use the form below to contact our office for more
information or to schedule an appointment.

• Name:
• Email Address:
• Home Phone:
• Street Address:
  
• City:
• State:
• Zip:
• Date of Birth:
Choose two appointment dates in order of preference:
• First Date:
• Second Date:
mm/dd/yyyy (or use calendar pop-up)
What time of day would you prefer:
Have you ever been a patient at
Sunshine Healthcare Solutions before?
• 
If so, approximately when was your last visit?
In the box below, please inform us of the
reason of your visit and/or any additional
information you with to provide us with:
If you will be using insurance coverage
for this visit, please select your carrier:
• Primary  
• Secondary  
How would you like us to confirm your appointment?
•