Request an Appointment
The online form below can only be used to request appointments a minimum of 5 days in advance.
Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact Meli Orthopedic Centers of Excellence, formerly known as Orthopedix MD, in Fort Lauderdale at (954) 771-8177 or in Margate at (954) 580-4080. After you submit your request, our appointment scheduler will respond within 48 hours.
See below for forms to complete. Established patients may log in to the patient portal to request appointments and update forms.
New Patient Registration Forms
Meli Orthopedic Centers of Excellence, formerly known as Orthopedix MD, welcomes you to our practice in South Florida. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.
Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another provider.
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.