Be sure to carefully read and follow all the instructions below. Missed steps will result in postponement of your appointment.
PATIENT INTAKE FORMS
Complete our online Patient Intake forms below. NOTE: Red asterisks indicate required fields. Missing any will cause submission problems.
Sign and click the submit button.
Review the Consent forms, taking care to ensure the consent boxes are checked. Sign and click the submit button.
TIP: Disregard Part B. That section is just for minors.
PROOF OF CONDITION & DRIVERS LICENSE
Before you begin the forms, be prepared to upload a photo of your Florida drivers license and your Proof of Condition (medical records diagnosis). The Identity Documents Section is where you will upload the required documents. If you need more information about acceptable Proof of Condition, return to the previous screen here. DO NOT SUBMIT A DOCUMENT THAT IS NOT READABLE OR TOO SMALL TO VIEW.
TIP: The accepted formats to upload are: jpg, gif, png.
SCHEDULE YOUR APPOINTMENT
After your forms are submitted, schedule your appointment. Follow the below guidelines for choosing the correct appointment type.
NEW PATIENTS | Select your preferred location. Don’t see a location in your city?Click on our customer service chatbot for the location to choose.
BE SURE TO FOLLOW ALL THE STEPS. REVIEW THEM AGAIN IF NECESSARY. RED ASTERISKS NEXT TO FIELD NAMES INDICATE REQUIRED FIELDS. ANY OMISSIONS WILL PROHIBIT YOU FROM SUBMITTING YOUR DOCUMENTS. ENTER YOUR FIRST AND LAST NAME IN THE FULL NAME FIELD.