Consumer Comments and Questions

The OMMU Wants to Hear From You!

Please inform us of your comments and questions by filling out and submitting the form below. 
Should you have a complaint about your qualified physician, you may file it here.

If you would like to receive a response from a representative of the OMMU, please be sure to include your phone number and/or email address.

Please note, under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity; instead, contact our office directly by phone or in writing.


Required fields are marked with an asterisk (*)

First Name:

Last Name:



Type: *

Patient Number (if applicable):



Zip Code:

Comment Type: *

Please describe your comment or question: *