Enter Your Patient Information * indicates required field Provider: Rebecca Lopez, APRN Provider Location Altamonte SpringsOrlando OfficeOrlando Office Altamonte Springs Directions to Altamonte Springs 685 Palm Springs Drive Suite 2A Altamonte Springs, FL 32701 Directions to Altamonte Springs 685 Palm Springs Drive Suite 2A Altamonte Springs, FL 32701 Call Altamonte Springs at407-830-5577 Orlando Directions to Orlando 2501 North Orange Avenue Suite 401 Orlando, FL 32804 Directions to Orlando 2501 North Orange Avenue Suite 401 Orlando, FL 32804 Call Orlando at407-303-7283 Orlando Directions to Orlando 1115 E Ridgewood Street Orlando, FL 32803 Directions to Orlando 1115 E Ridgewood Street Orlando, FL 32803 Call Orlando at407-841-1100 First Name Last Name Email Phone Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904 Street City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code Preferred Contact Method Phone Email Reason for Appointment Preferred Date and Time Preferred Date Range (Start) Preferred Date Range (End) Preferred Date and Time Preferred Days Monday Tuesday Wednesday Thursday Friday No Preference Preferred Times Morning Afternoon Evening No Preference Let's Keep In Touch Yes, I want AdventHealth to send me information about its various services via phone, email or direct mail. Take Health IntoYour Own Hands Do more than ever before in one handy download. View Lab Results Pay Bills Message Your Care Team Schedule Appointments 24/7 Virtual Urgent Care Access Health Records with MyChart
Altamonte Springs Directions to Altamonte Springs 685 Palm Springs Drive Suite 2A Altamonte Springs, FL 32701 Directions to Altamonte Springs 685 Palm Springs Drive Suite 2A Altamonte Springs, FL 32701 Call Altamonte Springs at407-830-5577
Orlando Directions to Orlando 2501 North Orange Avenue Suite 401 Orlando, FL 32804 Directions to Orlando 2501 North Orange Avenue Suite 401 Orlando, FL 32804 Call Orlando at407-303-7283
Orlando Directions to Orlando 1115 E Ridgewood Street Orlando, FL 32803 Directions to Orlando 1115 E Ridgewood Street Orlando, FL 32803 Call Orlando at407-841-1100