Memory Screening Appointment Request

Please note: This appointment request applies only to persons seeking a memory screening. This form cannot be used to schedule a medical exam with a physician. To schedule an appointment by phone, please call (813) 396-0722. The information you provide will not be shared without your expressed permission. We cannot process emergency requests through this form. If you are experiencing a medical emergency, please call 9-1-1.

If you are seeking a physician appointment at the Byrd Institute, please call our clinic at (813) 974-4355.