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Lake Worth Chiropractic & Wellness offers our patient form(s) online so they can be completed 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 and print the necessary form(s) and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. If you have any questions, concerns, and goals regarding wellness please let us know how we can help you.

Download & Print Form



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