New Patients

Print your new patient package and medical release forms here.  Select download, then print from your browser.

• New Patient Package – Download

• Medical Release Form – Download


Got a question or need to make an appointment? Call Primary Care of Brevard at 321-751-3389 to speak with a Patient Services Representative. You can also use the form below to send us an email.

Please solve the equation below to help us screen spam.

Contact Us

4 + 14 =

Primary Care of Brevard • 7955 Spyglass Hill Road, Melbourne, FL 32940 •  321-751-3389