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Chiropractic and Acupuncture offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
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Hours of Operation
| Mon | 8am - 7pm |
| Tue | 8am - 7pm |
| Wed | 8am - 7pm |
| Thu | 8am - 7pm |
| Fri | 8am - 7pm |
| Sat | By Appointment |
| Sun | 8am - 1pm |
Call Us:
813-835-4488 Request
Appt.
3325 W Gandy Blvd
Tampa, St Petersburg, Clearwater, Orlando, Pinellas Park, FL 33611
Tel: 813-835-4488
Fax: 800-518-9398
Email: Chiropractic and Acupuncture








