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Appointment Forms

For your convenience, we have placed our appointment forms on our website for you to download and fill out at home.

Please answer the following questions to download the appropriate form:

-Are you a new patient?
-Are you an insurance patient?
-Is your visit related to a car accident?


  Related Links:
- The Doctor's Blog
- 10 Steps to Extending Your Life
- Contact Us

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600 N. HIATUS ROAD, SUITE 101 PEMBROKE PINES, FL 33026 | CALL NOW 954-885-5656
DISCLAIMER: No individuals, including those under our active care, should use the information, resources or tools contained within to self-diagnose or self-treat any health-related condition. Diagnosis and treatment of all health conditions should only be performed by your doctor of chiropractic or other licensed health care professional.

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