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New Patient Paperwork

Intracoastal Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

General Forms

iLipo Forms

OFFICE HOURS


Monday
8:00am - 6:00pm


Tuesday
8:00am - 12:00pm


Wednesday
8:00am - 6:00pm


Thursday
8:00am - 12:00pm


Friday
8:00am - 6:00pm


Saturday
Closed

Intracoastal Chiropractic Clinic
14255 Beach Boulevard #300
Jacksonville, FL 32250
(904) 223-1616

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