Patient Forms

Please complete the following form before your upcoming appointment. If we do not have this form 24 hours before your appointment, we may need to reschedule the appointment.

Please complete the following form to schedule or reschedule an appointment.

Please complete the following form before your upcoming appointment. If we do not have this form 24 hours before your appointment, we may need to reschedule the appointment.

To request a medication refill online, fill out the form at the link provided. This form is intended for current Brave Health patients who want a refill for an existing medication prescription. Refills can take up to 5 business days to process (not including weekends and holidays) and are sent directly to the pharmacy. You may also call 305-902-6347 to reach a member of our team. 

Medication Management patients may be asked to complete this form before your first appointment. 

All Florida and New York patients interested in receiving mental health medication prescriptions are required to read and sign this form.