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Online Forms

Patient Forms

Integrative Healthcare Solutions offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReaderĀ® 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!

Download & Print Form


Auto Accident/PIP Form

Please fill out this form if you are seeking treatment for an auto-related injury.

Download and Print Form


Slip & Fall Paperwork Form

Please fill out this form if you are seeking treatment for a slip-and-fall related injury.

Download and Print Form


Work Injury Form

Please fill out this form if you are seeking treatment for a work-related injury.

Download and Print Form




Schedule A FREE Consultation

To request an appointment, fill out the form below or call (904) 372-0623.

Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am-12:30 pm

2:30 pm-6:30 pm

Tuesday:

8:30 am-12:30 pm

2:30 pm-6:30 pm

Wednesday:

8:30 am-12:30 pm

2:30 pm-6:30 pm

Thursday:

8:30 am-12:30 pm

2:30 pm-6:30 pm

Friday:

8:30 am-12:30 pm

2:30 pm-6:30 pm

Saturday:

By Appt Only

Sunday:

Closed

Closed