Step One

Click on the link below to submit your information which will be used to update the state registry and to start your medical record. We use TouchHealth for our intake forms. They are Protected, Confidential and HIPPA compliant.

Step Two

Please fill out the informed consent below. Initial in every line and sign the final sheet. Please return this to info@miamimarimed.com

Step Three

Please fill out the HIPPA and medical release forms and return to info@miamimarimed.com. These documents will be stored in your medical records and will help us access your medical records.

Pay online or in person after your visit. Our online payment service is safe and secure.