New Client Authorization Links

Secure Electronic Version New Client Authorization

Online Information and Registration Form

Our Authorization Forms

We have 2 basic authorization forms, One for New Clients and One for Previous Client updates and renewals:

1. Click Here For Secure Electronic Version New Client Authorization

2. Direct Link to Online Information and Registration Form

3. Existing Client Update, Renewal Form (Electronic)

4. Click here For our New Client Authorization PDF

5. Click here for our Existing Client Renewal Authorization(PDF)

All can be accessed online by clicking their respective links. We use Adobe Echosign – a SUPER SECURE system that allows you to send information confidentially and sign forms electronically. If this is a concern (and the reason we use it is the security), then you may print out the appropriate authorization and fax it to our private fax at 305-653-7244

Also be sure to complete the online registration form for New Clients so your accurate information (Name, address, phone etc.) is sent directly to us and does not need to be re-entered so it saves us time and that means more time with our patients.