BOOKING INSTRUCTIONS

Our office must have the required forms completed prior to booking your appointment. Please submit online (preferred method) or download and email to [email protected]

FOR NEW PATIENTS:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

New Patient

HIPAA Release Form

Credit Card Authorization

FOR MENTAL HEALTH SERVICES:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

Mental Health Counseling Intake Form

HIPAA Release Form

Credit Card Authorization

FOR MINORS:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

Minor Consent Form

HIPAA Release Form

Credit Card Authorization

FOR NEUROPATHY EVALUATION:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

Neuropathy Questionnaire

HIPAA Release Form

Credit Card Authorization

FOR SUBOXONE CONSENT AND INTAKE:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

Suboxone Intake Form

HIPAA Release Form

Credit Card Authorization

FASTING INSTRUCTIONS AND MEDICAL REQUEST:

To complete your appointment, please download, fill out, and submit the following forms to [email protected]:

Medical Records Request

Fasting Instructions

Book An Appointment

Our Process

Book Your Appointment — Choose your service online or call our office.

Prepare for Your Visit — Complete new patient intake forms and bring your ID + insurance.

Personalized Evaluation — Meet with your provider for a full review and care plan.

Treatment & Support — Receive recommended therapies and step-by-step guidance.

Ongoing Care — With reminders, follow-ups, and wellness check-ins, we become your long-term health partner.

Book An Appointment

Get in touch with us

Your health journey starts with a conversation.

We’re here to make scheduling and communication simple. Call, email, or stop by our New Smyrna Beach location to speak with our care team.

(386) 957-1854

[email protected]

502 Palmetto St, New Smyrna Beach, FL 32168, United States

Monday - Thursday, 8:00 am - 5:00 pm, Friday, 8:00 am - 3:00 pm, Closed for Lunch: 12:00 pm - 1:00 pm

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At New Smyrna Wellness Center, we provide trusted primary care, pain management, mental health counseling, dermatology, physical therapy, and IV therapy in Volusia County. Our mission is to help patients feel better, live longer, and stay empowered in their health decisions.