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New York Patient Forms

 

Please complete one of the following forms. If you need support to complete these forms or have any questions, please call or text us at 305-902-6347.

Por favor complete uno de los siguientes formularios. Si necesita ayuda para completar estos formularios o tiene alguna pregunta, llámenos o envíenos un mensaje de texto al 305-902-6347.

 

Adult Patient

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.
Complete Form

Minor (Under 18) Patient

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.
Complete Form

Paciente Adulto

Complete el siguiente formulario antes de su próxima cita. Si no tenemos este formulario 24 horas antes de su cita, es posible que necesitemos reprogramar la cita.
Completo

Paciente Menor (menor de 18 años)

Complete el siguiente formulario antes de su próxima cita. Si no tenemos este formulario 24 horas antes de su cita, es posible que necesitemos reprogramar la cita.
Completo
If you experience a mental health emergency at any time, contact the Suicide and Crisis Lifeline by calling or texting 988.
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Mailing Address

1951 NW 7th Ave, FL 3
Miami, FL 33136
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(305) 902-6347
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© 2026 Brave Health, Inc., Brave Health Medical Group, PA, and Brave Medical, PC are independent, affiliated organizations. The organization providing clinical services is dependent on the state of residence of the patient.