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Patient Forms

Freedom to heal, Freedom to perform, Freedom to be pain-free.

Prior to your visit please complete the new patient packet. This will save time on your visit.

New Patient Packet

In addition to the above packet, please print and complete one of the following 5 forms based on your issue.

Low Back Pain
Neck Pain
shoulder, elbow, hand pain
hip, knee, foot pain
Nutrition

Need us to send records? Please fill out the Medical Information Release Form.

Medical Information Release

Tired of just managing pain? Let us help you become pain free!

Contact Us!

Give Us A Call

850-332-3834

Fax: 850-378-4522

Our Calendar

Most of the time same week appointments are available. Give us a call and I will get you scheduled as soon as possible.

Working Hours

Monday – Friday

6:00A-8:00P

Saturday

By Appointment

Sunday

Closed

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