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EXCLUSIVE NEW PATIENT $129 DEAL

BE SURE TO CAREFULLY READ AND FOLLOW ALL THE INSTRUCTIONS BELOW.

PATIENT INTAKE FORMS

Complete our online Patient Intake forms by clicking on the Step 01 purple button.

Be sure to complete all fields marked with a star. Be sure to have your license and proof of condition ready to upload!

NEED HELP? JUST TEXT US! 813-774-3474

PROOF OF CONDITION & DRIVERS LICENSE

BEFORE YOU BEGIN THE PATIENT INTAKE FORMS | Be prepared to upload a photo of your Florida drivers license and your Proof of Condition (medical records diagnosis).

DO NOT SUBMIT A DOCUMENT THAT IS NOT READABLE OR TOO SMALL TO VIEW.

ACCEPTABLE FORMATS: jpg, gif, png

SCHEDULE YOUR APPOINTMENT

After your forms are submitted, a Schedule Appointment button will appear on the same page.

BEFORE YOU GO, TEXT 813-774-3474 FOR YOUR EXCLUSIVE DISCOUNT CODE

CONTACT US

Text or Call: 813-774-3474

Email: [email protected]

HOURS

Monday – Friday  9:00 to 5:00

By Appointment Only – No Walk-ins


HEADQUARTERS

1601 W Platt Street

Tampa, FL  33606

REVIEW US

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LOCATIONS

Aventura

Bonita Springs

Central Florida

Coral Gables

Daytona Beach

Delray Beach

Gainesville

Jacksonville

Melbourne

North Florida

Orlando

Pensacola

Sarasota

South Florida

Tallahassee

Tampa

Vero Beach

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