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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!


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.


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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