Request Schedule Online

Looking to book a family doctor in Rockaway Beach? South Island Family Clinic offers comprehensive care for patients ages 7 and up. We accept most insurance plans and are committed to making your visit simple and stress-free.

Established patients: Please use our Patient Portal to schedule or reschedule your appointment.

Use the form below to request your appointment. Our team will contact you to confirm your visit. Learn more about our services or get in touch with our office directly.

Please enable JavaScript in your browser to complete this form.

Full Name *

Date of Birth *

Appointment For Birth

Phone Number *

Email Address *

Reason For Visit *--- Select Choice ---New Patient ConsultationSick VisitFollow-up AppointmentLab Work / Blood TestMedication RefillImmunization / VaccinationSpecialist ReferralChronic Condition ManagementOther

Preferred Appointment Date *

Additional Notes

Submit