Schedule your consultation today!

    Phone: 561-623-7392
    Fax: 561-847-4785
    Address: 12773 West Forest Hill Blvd, Suite 201, Wellington, FL 33414
    [email protected]

    Prefer to schedule by email? Let us know your preferred appointment time  below.

Forms for New Patients 

These forms will help us make the most of your time during the consultation. Please print and complete the Intake Form (Adult or Child), Healthcare Authorization, and Symptom Sheet. Bring the forms and your photo identification to get started. 
Intake Form - Adult
File Size: 2297 kb
File Type: pdf
Download File
Intake Form - Child
File Size: 1886 kb
File Type: pdf
Download File
Healthcare Authorization
File Size: 1982 kb
File Type: pdf
Download File
Symptom Sheet
File Size: 998 kb
File Type: pdf
Download File