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 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. 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 and press 4.

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

If you are a current patient, you may request a new appointment using this form. 

In certain circumstances, Brave Health patients may be appropriate candidates for Long Acting Injectable medications.