New Patients

Download New Patient Registration Form + Privacy Policy + Cosmetic Treatment Health History

*The Cosmetic Treatment Health History form is for new patients that are ONLY coming in for cosmetic consultations–meaning everyone interested in Botox and Juvederm.

Exisiting Patients

Access your health records anytime with our Patient Portal. Patients can now request and cancel appointments through their patient portal. In order to do so, you must be enrolled in the patient portal by our clinic. To do that, simply let us know so we can send you an invitation via email. The rest is easy, once you’ve received the invitation you will be provided with setup instructions. Use your full email address as your login ID and your phone number serves as your PIN. From there it will prompt you to setup the rest of your account. Simple. Learn more about the patient portal. Connect to see key health information recorded during your visits, including:
  • Upcoming appointments
  • Recent lab orders
  • Medications, diagnoses and more

Your Name

Your Phone Number

Your Email

Your Message

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Medical Cannabis Resources

Records Release Authorization Form

There are seven dispensing organizations authorized to cultivate, process an dispense medical marijuana:
Truelieve | 850-777-3360 | [email protected]
CHT Medical | 855-524-8633 | [email protected]
The Green Solution | 800-429-1987 | [email protected]
Surterra Therapeutics | 850-391-5455 | [email protected]
Modern Health Concepts | 877-303-0741 |
Knox Medical | 888-441-5669 | [email protected]
GrowHealthy | 863-223-882 | [email protected]

For more information on Medical Cannabis or to schedule your appointment, click here.