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Please Direct Your Attention to "Intake and Consents" and Complete the Following Forms Before your Inital Appointment:
-Aquarian Clinic Intake Questionnaire
-Authorization to Release Medical Records
-Controlled Substance Agreement Consent
-PHQ-9 Questionnaire

Contact Technical Support

For medical questions, contact your provider or, if you are having a medical emergency, call 911.

What issue are you having?

Please narrow down the issue by selecting one of the options below:

If you have forgotten your password you can use the form here to issue yourself a reset link.

You'll need to enter:

  1. The email address you have on file with your provider
  2. Your date of birth
  3. Your last name
  4. Your zip/postal code (in the U.S., first 5 digits only)

This information must match the information that your provider has on file for you. When you click "Send reset link," the system will send an email to the email address that you entered. If the system is able to verify your account, you'll receive an email with a link that you can follow to create a new password.

If you need further assistance please fill out the form below

If you have forgotten your username you fill out the form here to have your username emailed to you.

If you need further assistance please fill out the form below.

Please double check that you are entering the correct username. To receive an email reminding you of your username, please click here. To reset your password click here. If you need further assistance, please fill out the form below.

If you need further assistance please fill out the form below.

Please fill out the form below and let us know what problem you are experiencing logging in. The more detailed you are in your description the better we can help you.

Please provide the name of the questionnaire and details about what problem you are experiencing.

If you are trying to send your provider a document, you can do so by uploading it using the form on the documents page

Please let us know what issue you are having with the secure messages system. The more detailed you are i your description the better we can help you.

If you need to refill a prescription, please contact your provider by either requesting a refill or sending a secure message.

If you are receiving an error message that there is no matching medication or supplement found, please send a secure message. to your provider with details about the medication or supplement you want to add.

If you are experiencing some other issue, please let us know what issue you are having regarding medications and supplements. The more detailed you are in your description the better we can help you.

Please fill out the form below detailing the error message you have received. If possible, please cut and paste the error message into the 'Message' field.

You can contact your provider by calling them at the following number: 850-900-1971.

THIS MESSAGE DOES NOT GO TO YOUR PROVIDER'S OFFICE

This form is for contacting technical support for the Patient Portal. To contact your provider's office, please send them a secure message or reach out to them directly.

Fill out the form below detailing the issue that you are experiencing. Please be as detailed as possible; the more information you provide the better we can help you.

Contact Cerbo Technical Support
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