Request An Appointment

Request An Appointment & Download Patient Forms

We take all appointment requests by telephone.

For our patients’ convenience, our forms are available below to be downloaded and completed ahead of scheduled appointment times.

First time patients to our practice may download the New Patient Forms here.

~New Patient Forms

Pediatric Patient Forms may be downloaded here:

~New Patient Pediatric Forms

Medicare patients may download the annual wellness forms here.

~Medicare Annual Wellness Forms

If you have any questions or concerns, feel free to give us a call. We are happy to help.

Offices in Cocoa Beach, Merritt Island, & Palm Bay

You may reach our Cocoa Beach, Merritt Island, and Palm Bay offices for scheduling, billing, or general patient care questions at (321) 985-9097.

Online Patient Portal

To activate a new account or to log-in to an existing patient portal health records account, please use this secure access.

Enter Patient Portal HERE

If you are a returning or an existing patient who would like to gain access to your electronic health records, you may request your personal access credentials by calling us at 321-985-9097.

Current Participating Insurance Plans

  • Aetna
  • BCBS FL
  • Florida Blue
  • CarePlus
  • Cigna
  • Florida Health Care Plans
  • Freedom Health
  • Health First
  • Health Options
  • Humana
  • Medicare
  • Optimum
  • Tricare
  • United Health Care
  • United Health Care AARP Medicare Advantage

If you have questions about your coverage, co-pays or deductibles, please call your insurer direct at their number listed on the card. Unfortunately our staff does not have access to the details of each insurance plan to be able to answer specific insurance provider coverage questions.

We look forward to seeing you and welcoming you into the Complete Care family!