NEW PATIENTS
Hello, and welcome to Djuric Chiropractic. We are happy to have you as a patient!
If you are looking for new patient paperwork, you have come to the right place.
Completing the paperwork is an easy process. The paperwork can be completed on a smartphone, tablet, or computer. Before you complete the new patient forms, please read the following paperwork tips:
- Once you get to the portion of the paperwork with an image of a body, please select the region of your primary complaint first because the image will not allow you to select multiple areas that are not adjoining.
- Answer the questions based on the primary complaint.
- If you have additional complaints, at the very bottom of the paperwork page, select yes to the “do you have an additional condition” question.
- You will be prompted to answer the same questions again where you can select a different region.
- If you have not scheduled an appointment with the Doctor, please call us at (850) 741-4389, or you may request an appointment by emailing us at info@djuricchiropractic.com prior to submitting paperwork.
Please click the button below to access and complete the new patient paperwork: