Patient Resources

Office Forms

New Patient (PDF)

Authorization to Release Healthcare Information (PDF)

Refusal of Care (PDF)

Designated Relative (PDF)

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 Support@WellnessStorehouse.com 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!

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

BROOKSVILLE

12142 Cortez Blvd
Brooksville, FL 34613

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

LAND O’ LAKES

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

Thu-Fri: 3 PM to 7 PM