In order to schedule appointments we first need a fully-completed registration form and all related medical records (including any imaging, laboratory, etc). Once Global Health receives all relevant information, your case will be reviewed by the medical staff. Be advised that routine appointments are generally scheduled for dates 2-4 weeks after your case has been initiated with a coordinator. If this is an urgent medical request requiring an appointment within two weeks, please contact Global Health directly.
If you need to reach the Global Health Department, please call:
Local Phone: (305) 662-8281 or Toll-free: (888) 797-6010.
Have you read the Notice of Privacy Practices?*:
Do you have a Primary Care Physician?:
Do you have a Referring Physician?:
Do you have in mind a specialist you would like to see at Nicklaus Children's Hospital?:
Preferred dates to visit:
(Please provide a two week range if possible)
To expedite your request, we will need copies of the child’s latest medical records (clinical summary containing history and current status, along with results of any recent tests. You may upload the records here or Fax them to (305) 668-5586. Maximum upload size is 4 MB.
Would you be interested in a video conference (TeleHealth) with one of our specialists?(Physician in home country required for consult):
Medical Information Consent*: