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Online Forms

Brickell Chiropractic offers our patient form(s) online so you can complete 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.


New Patient Health History Form - Required

This let's 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

Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

8:30am - 1pm

3 - 6pm

Tuesday:

Chiro: 8:30 am - 1 pm

Massage: 1 pm-6 pm

Wednesday:

8:30am - 1pm

3pm - 6pm

Thursday:

Chiro: 8:30 am- 1 pm

Massage: 1 pm-6 pm

Friday:

8:30 am - 1 pm

3 pm- 6 pm

Saturday:

Massage Therapy

Massage Therapy

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "In January of 2013 I suffered a severe injury to my lower back. The pain was unbearable, I could hardly walk, and could not bend over at all. I was referred to Dr. Brickell by a friend of the family and didn't know much about chiropractic but decided to give it a try."
    Matthew Kavanaugh Ft. Lauderdale, FL