For the best outcomes, choose Moffitt first.

As the best cancer hospital in the Southeast and Florida, our experts understand that after a cancer diagnosis every day counts and we want to support you with compassionate care every step of the way. That's why we have disrupted the traditional patient care model to provide patients with rapid care so that we can start treatment as soon as possible for the best outcomes. It's all about calming your fears and giving you the courage to face what lies ahead.

Your cancer diagnosis is our top priority because no one should have to wait to get the care they need.

5 physicians standing together in white coats.

To learn more about the cancers we treat, or to consult with cancer specialist, call Moffitt at 1-888-663-3488 or fill out our convenient online new patient registration form below. No referral is necessary.

Appointment Request

Please complete this online form to begin the appointment scheduling process for your cancer screening. DISCLAIMER: If you are experiencing a medical emergency, please call 9-1-1. This form is for appointment requests only.

Appointment Details

What best describes your first appointment at Moffitt?

A cancer concern or suspected diagnosis

Exploring cancer treatment options

Interest in a clinical trial

Screening, genetic testing or survivorship exams

How were you referred to Moffitt?

I am referring myself

I am being referred by my physician

I am being referred by my employer

Patient Contact Information

First Name

Last Name

Patient date of birth

Patient street address

Patient city

Patient state

Patient zip code

Email address

Patient Phone Number

Phone Type

Patient Insurance Information

Primary insurance

Policy ID number

Is the patient the policy holder?

Yes

Patient's Employer

Does the patient have secondary insurance?

Yes

Connect with a Cancer Expert

For the best outcomes, choose Moffitt first.