Online Forms

Indialantic Chiropractic & Acupuncture Inc 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 AdobeReaderĀ® 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.

General Intake Form

Personal Injury Intake Form

Our Location

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Hours of Operation

Monday

7:30 am - 12:00 pm

By Appointment

Tuesday

7:30 am - 12:00 pm

2:00 pm - 5:00 pm

Wednesday

7:30 am - 12:00 pm

By Appointment

Thursday

7:30 am - 12:00 pm

Closed

Friday

7:30 am - 12:00 pm

By Appointment

Saturday

Closed

Closed

Sunday

Closed

Closed

Monday
7:30 am - 12:00 pm By Appointment
Tuesday
7:30 am - 12:00 pm 2:00 pm - 5:00 pm
Wednesday
7:30 am - 12:00 pm By Appointment
Thursday
7:30 am - 12:00 pm Closed
Friday
7:30 am - 12:00 pm By Appointment
Saturday
Closed Closed
Sunday
Closed Closed