Accessibility View Close toolbar

Online Forms

Chiropractor in South Florida | Palms Rehab and Wellness | Hollywood and Oakland Park, Florida 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 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 Forms - 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 Forms



Download the Free Adobe Reader®

Contact Us Today

Our Locations

Office Hours

Hollywood

Monday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Tuesday:

10:00 am-12:00 pm

2:00 pm-7:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Thursday:

Appointments Only

Friday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Saturday:

Appointments Only

Sunday:

Closed

Lauderdale Lakes

Monday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Tuesday:

10:00 am-12:00 pm

2:00 pm-7:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Thursday:

Appointments Only

Friday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Saturday:

Appointments Only

Sunday:

Closed