The Fort Myers Chiropractor to see - Chiropractor Fort Myers

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 

HIPPA

 Download and Print Form

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.

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

Is a muscle spasm a cause or an effect?
With the knee-jerk use of muscle relaxers, you'd think it was a cause. But it's an effect. Chiropractors know that bones don't move unless muscles move them. And muscles don't contract unless commanded by the nervous system. That's why your nervous system is the focus of our Fort Myers chiropractic practice.
What happens if you stop chiropractic care when you feel better?
Many Fort Myers folks recognize that this predisposes you to a relapse. Chiropractors know that muscles and ligaments supporting the spine don't fully heal until after symptoms subside.