Fort Lauderdale Chiropractor

Online Forms

Our chiropractor offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Complete the forms online (preferred method) and click submit it will automatically start you a file at the office or download the necessary forms, print it out and fill in the required information.
  • Fax us your printed and completed forms or bring it with you to your appointment.
New Patient Health History Form Required   This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!   Online New Patient Form (click here)  or Download & Print Form   Member Wellness Registration Form Optional   This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor., or Sign up to our online newsletter on the right. We look forward to making your experience with our office and website more interactive and rewarding!   Download & Print Form