WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Jacksonville Chiropractic and Acupuncture offers our patient form(s) online so they can be completed it 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.

Attention: We are GREEN! 

We have a Paperless Electronic Health Record computer system. Please do not print and fill out the paperwork below unless the staff specifically asked you to.

New Acupuncture Patient

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  We are going GREEN! We have a paperless office system. Do not print and fill out unless directed to by our staff. Thanks! 

New Patient Form- Auto Injury

Download & Print Form We are going GREEN! We have a paperless office system. Do not print and fill out unless directed to by our staff. Thanks! 


Notice of Privacy Practices
Download the Free AdobeReader®

Exclusive Offer

Sign up using the form below or call 904-619-2703 to make an appointment.

Captcha Verification Image

THIS ---->https://jacksonvillechiropractic.chiromatrixbase.com/online-forms.html

Office Hours

Day
Monday9:00am - 1:00pm3:00pm - 7:00pm
TuesdayOut2:30pm - 7:00pm
Wednesday9:00am - 1:00pm3:00pm - 7:00pm
ThursdayOut2:30pm - 7:00pm
Friday9:00am - 1:00pm3:00pm - 5:00pm
SaturdayMassage: 9:00am1:00pm
SundayBy ApptBy Appt
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 1:00pm Out 9:00am - 1:00pm Out 9:00am - 1:00pm Massage: 9:00am By Appt
3:00pm - 7:00pm 2:30pm - 7:00pm 3:00pm - 7:00pm 2:30pm - 7:00pm 3:00pm - 5:00pm 1:00pm By Appt

Testimonial

The staff is very nice and customer service is awesome, everyone is very friendly, I had serious lower back pain I could barely walk and Dr Carlson and his staff has made everything so much better, every time I come in it gets better and better, less and more less pain I would recommend not only family but anyone else friends or just a stranger this place is truly amazing!!!! Thanks Dr Carlson u da man!!!

Dobert D.
Jacksonville, FL

Newsletter Sign Up










Captcha Verification Image