Patients must be established and actively in care with a provider at Holistic Primary Care of Brevard to request medication refills. Medication refills will be processed only for medications prescribed by providers within the practice.

All patients must be seen in order to receive a prescription for medication from the office. Existing patients requesting antibiotics, at the discretion of the provider, may be seen via telemedicine.

Refills will be provided based on the provider's discretion and adherence to clinical guidelines. Providers may require an office visit or telemedicine consultation before approving certain medication refills.

Medication refill requests are processed during regular business hours: M-F 8am to 5pm. Any refill request received after business hours will be processed on the next business day. Refill requests will take a MINIMUM of 72 hours for refill processing. Refill Authorization Providers may authorize a specified number of refills or prescribe a new prescription based on clinical assessment.Refills beyond the authorized quantity may require a follow-up visit, consultation or incur a fee.

We will submit for prior authorizations, when necessary, however if any prior-authorization is denied by your insurance company, a fee for a denial appeal may be charged.  Prior Authorizations will not be attempted for medications that have a generic available.

Patients must adhere to the practice's controlled substance agreement and undergo periodic medication management reviews. Medication refills will be issued every 30 days and must have a regularly scheduled appointment (Med Check) as discussed with my provider every 30-90 days.  If I No Show, Cancel, or Reschedule my Med Check appointment, a fee will be assessed. I will obtain all my controlled substances from the physician whose signature appears below or, by a designated covering physician. I will obtain all my controlled medication from my pharmacy on file. Should the need arise to change pharmacies, there will be a 3-5 day transfer period to change pharmacies and a fee will be assessed. The prescribing physician has permission to discuss all diagnostic and treatment details with dispensing pharmacists or other professionals who provide your health care for purposes of maintaining accountability. I will not increase, decrease, or abruptly stop taking my medication without my provider’s knowledge and permission. I understand that early refills will generally not be given, though arrangements for travel can be made with my provider. Medications may not be replaced if lost, destroyed/damaged, or stolen. Stolen medications with a completed police report may be an exception.  I understand that it is my responsibility to schedule a more urgent appointment if I begin to experience any problems associated with my controlled medications, or if other medical conditions that may be affected by my medication arise.I am aware of the risks of concurrent alcohol use. I will not use illegal substances while taking my controlled medication. I will not sell or share my controlled medications, allow others to use my medication, alter my medication prescriptions, or use my medications in any unintended ways. I will keep my medications safely away from children.

Keeping your regularly scheduled appointments is essential for proper management of your health and medication management. All appointments are made with your medication cycle in mind and no-showing, canceling or rescheduling your appointments may cause a disruption in your prescription cycle and the following fees may apply:

Copayments are due at the time you receive care or services. The Copayment amount is determined by your specific insurance plan. Medical Partners of Florida has no control over this cost, it is determined solely by your insurance plan. If you are not able to pay the copayment at the time you receive care or services, you will need to obtain approval through the office by calling beforehand to discuss. You as a patient are responsible for all, or part of the charges not covered by your insurance policy, based upon your coverage and insurance plan. Again, these amounts are not determined by Medical Partners of Florida but your individual insurance plan.

Not every Service is covered by every insurance plan. Some or all of the care or services you receive might not be covered by your insurance, or may be denied by your insurance plan. Even if we have an established contract with your insurance carrier, you may still have some financial obligation based on your individual plan type. If this is the case, and your insurance denies payment, or holds you responsible for part of the payment, you'll be responsible for the cost determined by your insurance policy. We advise that you ask your insurance company to approve services in advance if there is any question about coverage. If you receive a service that is not covered, you're responsible for payment in full. Cash prices are available and a price list will be provided if requested. 

To help manage rising administrative costs, effective October 1, 2024 our practice will apply a 3.5% convenience fee for all payments made via credit card. However, if you choose to keep a credit card securely on file with us, the 3.5% fee will be waived for future payments. This option simplifies billing and ensures timely processing without added costs to you. We are committed to keeping healthcare affordable and offer this flexibility to meet your needs. If you have any questions or would like to set up a card on file, please contact our office directly and notify the front desk who can assist.

Upon scheduling your first appointment you will be encouraged to have a debit or credit card placed on file for future charges. This card will be charged the day of your appointment for any copayments due. If your insurance determines you are responsible for additional charges your card will also be charged 10 days after a statement is emailed to you. It is the responsibility of the patient to make sure Medical Partners of Florida has your correct email address and the patient checks the given email address for emailed bills. If you do not agree to the balance on the statement you must call our office at 321-757-6899 to contest the balance within 10 days.  All self-pay appointments must be paid for at the time of booking. Members paying through their insurance must email a copy of the front and back of their insurance card to Billing@MedicalPartnersOfFlorida.com within 48 hours from the time the appointment has been scheduled to avoid appointment cancellation.

Appointments cancellations must be done at least 24 hours in advance of the appointment time. Due to our commitment to respecting the time of both our other patients and our providers, any appointment cancelled or not attended with less than a 24 hour notice is subject to a $35 Late Cancellation / No Show fee, which must be paid before scheduling a new appointment. In the case of virtual visits, patients are responsible to have the app downloaded correctly and be in an area that has sufficient Internet coverage or cell coverage to allow for the visit. If the patient does not have the app downloaded correctly or does not have sufficient Internet or cell coverage to complete the visit this will be considered a missed appointment and the patient will be required to pay a no-show fee to rebook subsequent appointments. We strongly encourage all patients to test the app prior to their appointment time to avoid any technical difficulties that may result in a no show and subsequent fees.

Expected benefits include control of symptoms associated with declining hormone levels.  Possible benefits of this therapy may help prevent, reduce or control physical diseases and dysfunction associated with declining hormone levels.  I have been fully informed, and I am satisfied with my understanding of this treatment. I understand that my healthcare provider cannot guarantee any health benefits or that there will be no harm from the use of hormone replacement therapy. 

Some of the following risks/adverse reactions are derived from the official Food and Drug Administration “FDA” labelling requirements for these drugs, for therapeutic drug levels in the bloodstream. My healthcare provider may prescribe these medications at dosages designed to achieve physiologic levels of hormones in my bloodstream or urine generally associated with those of a 20-35 years-old person and would be within the “normal” or “average” blood concentrations of that age group. I understand that the general risks of this proposed therapy may include, but are not limited to, bruising, soreness or pain, and possible infection for hormones administered by injection. I understand that there are risks (both known and unknown) to any medical procedure, treatment and therapy, and that it is not possible to guarantee or give assurance of a successful result. I acknowledge and accept these known and unknown general risks. 

A prescription hormone, given by injection, transdermal cream or patch.  Risk of testosterone replacement include but are not limited to: Stimulation of benign and malignant prostate tumor. Testosterone replacement is contraindicated in patients with known prostate cancer.  Side effects of testosterone replacement may include but are not limited to: an increase in the red blood cells, determined by periodic measuring of your red blood. It is not a common occurrence and generally poses no health risk; it can be corrected by donating blood or with a therapeutic phlebotomy. Male pattern baldness, gynecomastia (breast enlargement), diminished sperm production and a reduction in the size of the testicles may develop in men. Testosterone replacement may reduce insulin requirements in insulin-dependent diabetics. Older male patients may be at a slightly increased risk for the development of prostate enlargement when replacing testosterone. The concurrent use of testosterone with corticosteroids may enhance edema (fluid retention) formation. Edema may be a complication with testosterone replacement in patients with pre-existing cardiac, renal, or hepatic disease. It is not known whether testosterone replacement therapy will increase the risk for prostate cancer. The most common immediate side effects (occurring in approximately no more than 6% of users) include but are not limited to: acne. application site reaction, headache, hypertension (high blood pressure), abnormal liver function tests, and non-cancerous prostate disorder. Other side effects may include greasy hair and skin, a strong body odor, and aggressiveness. 

A prescription hormone, given by injection, orally, or by transdermal cream or patch. Risks associated with estrogen replacement include, but are not limited to: heart attacks, blood clot formation (deep vein thrombosis or pulmonary embolism), gallstones, increased risk of uterine cancer (if progesterone is not administered concurrently), and fibroid tumors. Breast Cancer Risk:Multiple studies, including the Women’s Health Initiative (WHI), have demonstrated a potential increased risk of breast cancer in women undergoing estrogen and progestin hormone replacement therapy, particularly when therapy is initiated more than 10 years after menopause. The risk may be lower with estrogen-only therapy in women who have had a hysterectomy, but any use of hormone therapy should be carefully evaluated in patients with a personal or family history of breast cancer. Regular breast exams and mammograms are required as part of ongoing monitoring.Estrogen replacement is not recommended in women with a history of the following conditions: breast or uterine cancer, phlebitis and blood clots, gall bladder disease, uterine fibroma, and liver disease. Side effects may include, but are not limited to: increased body fat, fluid retention, uterine bleeding, breast tenderness, depression, headaches, impaired glucose tolerance, and aggravation of migraines.

A prescription hormone, given orally or by transdermal cream. Risks of progesterone replacement include but are not limited to: Breast Cancer Risk: The use of certain synthetic progestins (as opposed to natural progesterone) has been associated with an increased risk of breast cancer when used in combination with estrogen. Natural progesterone may offer a lower risk profile but should still be monitored carefully.Progestins may also cancel the protective effect of estradiol and promote constriction of the coronary arteries. Natural progesterone, on the other hand, may protect the endometrium, preserve the beneficial effects of estrogen on the cardiovascular system, and exert no negative effects on the blood vessels that supply your heart.Progestins may cause birth defects, damage to nerve cells, blood clots, and other cardiovascular risks. Side effects of progesterone replacement may include but are not limited to: nipple or breast tenderness, drowsiness, fluid retention, slight dizziness, anxiety, difficulty sleeping, depression, acne, rashes, hot flashes, increased appetite, and weight gain.

A prescription hormone taken by mouth. Risks/adverse reactions include but are not limited to: palpitations and rapid heart rate, heart arrhythmias, excitability, increased metabolism. Cardiac sensitivity is a contraindication to thyroid replacement therapy. Excess amounts may increase the risk for osteoporosis in some people and suppress the body’s own ability to manufacture its own thyroid hormone.  Side effects may include, but are not limited to: sleep disturbances, fine trembling of fingers, excessive hunger and thirst, sweating, anxiety, and headaches.

DHEA is classified as a dietary supplement, given by mouth or by transdermal cream. Risks of DHEA replacement include but are not limited to: worsening of certain cancers and should be avoided in men with existing prostate cancer and in women with breast cancer. DHEA replacement is not generally recommended in adults under age 35.  Side effects of DHEA replacement are generally dose related and may include but are not limited to: acne or oily skin, hair growth on the face, arms and legs, acne in women, and prostate enlargement in men male pattern baldness, decreased HDL cholesterol, fatigue, mood changes, weight gain and insomnia. 

A non-prescription hormone given by mouth. Risks of Melatonin replacement include but are not limited to: nighttime exacerbation of asthma. It should be used cautiously when treating some autoimmune diseases and leukemia, Hodgkin’s disease or lymphoma. Side effects of Melatonin replacement may include, but are not limited to: sleep disorders, bizarre dreams, headache, fatigue, stomach discomfort, and suppression of male sex drive. 

A non-prescription hormone given by mouth. Risks with pregnenolone replacement include but are not limited to: exacerbation of various cancers and should be avoided in those with cancer of the prostate, breast or uterus. Very high doses may cause cardiac arrhythmias. Side effects of Pregnenolone replacement may include, but are not limited to: headaches, bloating, menstrual irregularities, heartburn, acne, agitation, sedation, rash and flushing. 

I agree to comply with the proposed treatment and therapy as prescribed, including the fact that I may be responsible for injecting, taking by mouth, applying to my skin, or administrating the hormone(s) that may be prescribed to me, and consent to periodic monitoring, when requested, which may include: Laboratory monitoring of blood or urine chemistries and hormone levels, Physical examinations,  Regular / Annual screening (Mammogram, Colonoscopy, etc).  I agree to notify you regarding all signs or symptoms of possible reactions to my therapy.I agree to comply with all other healthy lifestyle activities that have been individually recommended for me. I have completely disclosed my medical history, including prescription and non-prescription medications that I am currently taking or plan to take during my treatment, as well as any other over-the-counter medications, recreational drugs or social substances, herbs, extracts, and other dietary supplements to you. I agree to comply with the recommendations regarding the continuation of these preparations. In the future I will receive recommendations in advance from you before stopping any prescribed therapeutic regimens or taking additional preparations that are not recommended by you. I certify that I am under the care of a physician(s) for any and all other medical conditions Research and Economic Interests I understand that the prescribing practitioner is not engaged in any personal research and has no economic interests unrelated to my immediate care or treatment that may affect the physician’s choice of treatment or medical judgement. I certify that I have been given the opportunity to ask any and all questions I have concerning the proposed treatment, and I received all requested information and all questions were answered. I fully understand that I have the right to not consent to hormone replacement therapy. I believe I have adequate knowledge upon which to base an informed consent.  I do now attest to reading and fully understanding this form and the contents and clinical meanings of such and discussing these procedures with my healthcare provider and consent to this treatment, and hereby affix my signature to this authorization for this proposed long-term treatment. I have been given a copy of this consent form, and I understand fully any and all of the possibly represented implications and meanings of its writing and expectations.