Patient Information

                        Patient Information                        					
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											Intake Forms: 											
										
												Pain and Inflammation Patient Intake Form
											
												Erectile Dysfunction Intake Form
											
												Low Testosterone Intake Form
											
												Hair Loss Patient Intake Form
											
												Peyronie's Disease Intake Form
											
												RejuvaMAX Enhancement Intake Form
											
New Patients
We must first collect information on your medical history and current condition before starting the treatment process.
This information allows us to customize your treatment plan accordingly. You can fill out this information in a “New Patient Information Form” before your appointment. Do not hesitate to restore your sexual spontaneity, youthful vigor, and vitality.  At Simply Men's Health, we change lives, one treatment at a time. 
Call us at 561-232-3704 today to learn more about our services or schedule an appointment.
Payment Methods – Check or Cash Accepted

Payment Methods – Check or Cash Accepted

Healthcare Disclaimer: The information on this website is for informational purposes only and does not constitute medical advice. Please consult with a qualified healthcare professional before making any decisions about your health.

Reviews Disclaimer: The testimonials and reviews featured on this website are individual experiences and reflect the personal opinions of those who have used our products or services. Results may vary, and these testimonials and reviews are not a guarantee of specific outcomes.

Intake Forms:

New Patients

Payment Methods – Check or Cash Accepted

Payment Methods – Check or Cash Accepted

Your Boca Raton Sexual Health and Male Rejuvenation Physician

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