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13241 Bartram Park Blvd. Suite #509 Jacksonville, FL 32258
904-551-9283
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Railing Chiropractic & Acupuncture 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 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 Form


Personal Injury Paperwork

Download & Print Form


United Health Care Patient Summary Form

Download & Print Form

United Health Care Back Index

Download & Print Form

United Health Care Neck Index

Download & Print Form


Download the Free AdobeReader®

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