Enrollment Paperwork

To save time at your first visit, please download, print and complete the following enrollment paperwork.  Once you’ve filled it out please send it via fax or mail, or bring it with you to your first visit.

Download Enrollment Paperwork (PDF)

Fax: (561) 395-5714
Mail: 600 South Dixie Highway, Suite 103, Boca Raton FL 33432