Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 


Health History for Patients Paying Cash

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form


Auto Accident Injury

If your health issue is the result of a non-work related accident, we need some additional information.

Download & Print Form


Medicare Patients

We'll need some additional information if you are a Medicare Patient

  Download & Print Form


Group Health Insurance and Medicaid

  Download & Print Form


Re-Evaluation Paperwork

If it's been longer than six months since we've seen you, we'll need some updated information.

  Download & Print Form



Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Anthony Oliverio | 912 Highway 44, Crystal River, FL | (352) 563-5055
Providing Quality Chiropractic Care to Crystal River,
Homosassa, Lecanto and all of Citrus County

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Dr. O Asks some important questions of interest to Crystal River residents - Chiropractor Crystal River Dr. O Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.