Appointment Form






 Male Female Child




Important Documents

Documents and forms that you may want to download and fill out prior to your visit. Remember to also bring an ID with you.

Book an Appointment

Fill out and send this form or simply give us a call to set up your next appointment.

Phone : (954) 767 - 5900

Email : rcuelimd@yahoo.com

Online Form : Fill out this form

Prior To Your Visit

After making your appointment, please make sure you go over the following points before arriving to BKC

  • Download and fill out the Patients forms
  • Bring an ID with you
  • Make sure you are feeling good

Have a healthy life!

appointment