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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!

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New Patient Forms

Patients Paying Cash

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

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Auto Accident Injury

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

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Medicare Patients

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

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Group Health Insurance and Medicaid

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Re-Evaluation Paperwork

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

Auto

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Medicare

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Self Paid, Medicaid and Group Health Insurance

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Free AdobeReader®

Get adobe readerEach 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.


Providing Quality Chiropractic Care to Crystal River and
Homosassa, Lecanto and all of Citrus County