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Main: (239) 936-5545 | Winkler: (239) 887-3283

New Patient Paperwork

If you would like to save yourself time at your first appointment, please print and fill out the paperwork and bring it with you to your first appointment. Please be sure to fill out the New Patient Intake as completely as possible. If you have any questions in regards to the paperwork, please let us know at your appointment.

NOTE: Due to the changes in Healthcare, many insurance companies are now requiring additional paperwork. Please be sure to provide the front desk with your specific insurance information and be prepared for a few more forms upon your arrival of your first visit.

We accept MOST insurances. If you have insurance and would like for us to verify your Chiropractic benefits, please click here and fill out the form. We will be happy to verify your coverage and get right back with you to schedule an appointment at your earliest convenience.

Thank you!

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