Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Health History and Future

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

 Download and Print Form ENGLISH 
 Download and Print Form SPANISH 


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

 Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

 Download & Print Form


Medicare

If your health issue is to be covered by Medicare, please complete this form.

 Download & Print Form


Free AdobeReader®

Each 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.


Print PageMake an AppointmentEmail Doctor

Subscribe to our Fort Myers chiropractic newsletter Free Newsletter

Receive free professional health tips on topics that interest you.
 
 
Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

 Dr. Todd Asks some important questions of interest to Fort Myers residents - Chiropractor Fort Myers Dr. Todd Asks...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.