Food as Medicine Program
Remote Patient Monitoring Program
Chronic Care Program
Primary Care Program
New Patient Form
Returning Patient Form
Letter of Support
Hospital Referrals Form
Missed Appointment Reason form
Patient Satisfaction Survey form
Telemedicine Consent Form
New Patient Consent forms
Salesforce Partner Login
Knowledgebase Internal use only
Make an Appointment with us today.
Note: all new patients MUST email or text us a copy of a Proof of Income or a Letter of Support to (904) 419-8006 or email@example.com on their scheduled date for an appointment.
Once you have submitted the Appointment Request Form, we will text you the time and date of the next available appointment.
Patient must be uninsured
Patient must be a Duval County resident*
Patient income must be below 200% the poverty line
2022 Federal Poverty Guidelines
Last 30 days income should be less than
For each additional person add
Click here to schedule an appointment