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!

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.