Patient Resources

Office Forms

New Patient (PDF)

Authorization to Release Healthcare Information (PDF)

Forms for Established Patients

Refusal of Care (PDF)

Designated Relative (PDF)

Order Online

To order your prescription go to

First time users: When setting up an account you will need the practitioner access code which is the word new.

FREE shipping over $100! Take $5 off your order – apply voucher code MORENO at checkout.

For ordering questions please call 888-301-9009 or email If you would like

to order a product you do not see Call 888-301-9009 and they will add it for you.


Appointments for Telemedicine are now available!

Click the button below to schedule an appointment with Dr. Moreno from anywhere!

Book An Appointment

Request an Appointment

Please feel free to contact us anytime with questions or concerns.

    APPOINTMENTS: (352) 596-9095 or (813) 528-4064
    MOBILE: (352) 263-5447 | FAX: (352) 578-1032


    12142 Cortez Blvd
    Brooksville, FL 34613

    Mon-Wed: 9 AM to 5 PM
    Thu-Fri: 9 AM to 2 PM


    17210 Camelot Court, Suite 102
    Land O’ Lakes, FL 34638

    Thu-Fri: 3 PM to 7 PM

    New Age Medical Center, P.A., Medical Doctor, Brooksville, FL