Patient Paperwork
North Broward Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Medical Release Forms
The forms below are used to authorize your medical records to be released to or from North Broward Wellness Center. Please select the one applicable to you, and fill out all available fields. If you are not sure if this applies to you, or if you have any questions, give our office a call at (954) 426-1100.
Monday
9:00am - 1:00pm
3:00pm - 7:00pm
Tuesday
3:00pm - 7:00pm
Wednesday
9:00am - 1:00pm
3:00pm - 7:00pm
Thursday
3:00pm - 7:00pm
Friday
9:00am - 1:00pm
3:00pm - 7:00pm
Saturday
9:00am - 1:00pm
Sunday
Closed
North Broward Wellness Center
6550 N State Rd 7
Coconut Creek, FL 33073
P: (954) 426-1100
F: (954) 426-4208