7900 NW 27th Avenue, Suite E-12 Miami, Florida 33147
(786) 318-2337
wecanhelp@empower-u-miami.org

Patient Forms

Building a Healthier Community

To make your visit to with is a more pleasant and faster experience, we have provided forms below that you may print, fill out and bring in with you to your appointment. If you are a new patient we encourage you to arrive 15 minutes earlier than your scheduled appointment time.

Patient Intake Forms

You will need Acrobat Acrobat Reader to print and download forms on this site. Download a free copy below.